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General NPI Number Information
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NPI Number | 1417310632
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Entity Type | Individual
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Provider Name | CASEY NICOLE RUST M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2016
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Last Update Date | 08/21/2024
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Provider Practice Location Address
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Address Line | 2911 ROBERTS AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32310-5007
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Country | US
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Telephone | 850-644-1543
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Fax | 855-230-7402
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Provider Business Mailing Address
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Address Line | 2911 ROBERTS AVE
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City | TALLAHASSEE
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State | FL
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Zip | 32310-5007
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Country | US
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Telephone | 850-644-1543
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Fax | 850-645-2824
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 145847
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License Number State | FL
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