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General NPI Number Information
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NPI Number | 1366046591
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Entity Type | Individual
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Provider Name | EMMA ROSE CASEY PHARMD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2020
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Last Update Date | 07/28/2022
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Provider Practice Location Address
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Address Line | 2000 PGA BLVD STE 5507
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33408-2726
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Country | US
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Telephone | 561-691-4991
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Fax |
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Provider Business Mailing Address
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Address Line | 103 SUFFOLK DR
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-8262
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Country | US
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Telephone | 774-277-7085
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PH238345
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PS62231
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License Number State | FL
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