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General NPI Number Information
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NPI Number | 1225805088
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Entity Type | Individual
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Provider Name | CASEY DRISKELL RN
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Gender | Female
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Dates
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Enumeration Date | 12/11/2023
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 6150 OMNI PARK DR
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City | MOBILE
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State | AL
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Zip | 36609-5195
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Country | US
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Telephone | 251-639-7959
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Fax | 251-639-7560
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Provider Business Mailing Address
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Address Line | 17272 LEE JOHNSON RD
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City | CITRONELLE
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State | AL
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Zip | 36522-5600
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Country | US
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Telephone | 251-680-5337
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 1-105648
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License Number State | AL
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