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General NPI Number Information
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NPI Number | 1457305781
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Entity Type | Individual
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Provider Name | KAY LOREE CASE PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 04/11/2025
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Provider Practice Location Address
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Address Line | 331 S MAIN ST STE H
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City | RICE LAKE
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State | WI
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Zip | 54868-2253
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Country | US
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Telephone | 715-838-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 200 1ST ST SW
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City | ROCHESTER
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State | MN
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Zip | 55905-1510
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Country | US
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Telephone | 715-838-5222
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA9101514
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 1331
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License Number State | WI
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