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General NPI Number Information
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NPI Number | 1518316199
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Entity Type | Individual
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Provider Name | CASEY HOEHN MD
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Gender | Male
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Dates
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Enumeration Date | 06/06/2016
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Last Update Date | 07/18/2022
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Provider Practice Location Address
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Address Line | 1600 EUREKA RD
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City | ROSEVILLE
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State | CA
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Zip | 95661
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Country | US
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Telephone | 909-529-0246
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Fax |
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Provider Business Mailing Address
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Address Line | 2500 E IMPERIAL HWY STE 149A #193
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City | BREA
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State | CA
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Zip | 92821
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Country | US
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Telephone | 909-529-0246
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | A160165
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 4351036121
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License Number State | MI
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