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General NPI Number Information
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NPI Number | 1366249864
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Entity Type | Individual
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Provider Name | CASEY M DICINE
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Gender | Female
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/07/2025
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Provider Practice Location Address
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Address Line | 307 CONNECTICUT AVE
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City | NORWALK
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State | CT
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Zip | 06854-1802
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Country | US
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Telephone | 203-298-9752
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Fax |
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Provider Business Mailing Address
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Address Line | 14 CUDLIPP ST
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City | NORWALK
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State | CT
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Zip | 06853-1212
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Country | US
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Telephone | 475-292-4414
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 14519
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License Number State | CT
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