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General NPI Number Information
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NPI Number | 1497548614
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Entity Type | Individual
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Provider Name | KASEY NICOLE GILES
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 4370 W MAIN ST
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City | DOTHAN
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State | AL
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Zip | 36305-1056
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Country | US
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Telephone | 334-793-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 11805 CEDAR SPRINGS RD
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City | BLAKELY
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State | GA
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Zip | 39823-9481
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Country | US
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Telephone | 229-723-1248
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 3-002473
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License Number State | AL
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 226296
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 154485
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License Number State | GA
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