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General NPI Number Information
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NPI Number | 1285367219
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Entity Type | Individual
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Provider Name | FELICIA ROSE CASBERG
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Gender | Female
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Dates
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Enumeration Date | 07/07/2022
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Last Update Date | 07/07/2022
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Provider Practice Location Address
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Address Line | 3237 S 16TH ST FL 5
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City | MILWAUKEE
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State | WI
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Zip | 53215-4526
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Country | US
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Telephone | 414-391-5710
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Fax |
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Provider Business Mailing Address
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Address Line | 2717 N 37TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-2530
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Country | US
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Telephone | 414-712-4334
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | WI032925301268
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License Number State | WI
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