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General NPI Number Information
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NPI Number | 1316850530
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Entity Type | Organization
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Legal Business Name | CASEREADY LLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 111 BENTWOOD DR
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City | CHARDON
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State | OH
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Zip | 44024-1398
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Country | US
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Telephone | 440-279-3460
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Fax |
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Provider Business Mailing Address
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Address Line | 111 BENTWOOD DR
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City | CHARDON
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State | OH
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Zip | 44024-1398
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFFREY JACKSON
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Credential | CRNA
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Telephone | 440-279-3460
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State | NULL
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