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NPI 1528505666

NPI 1528505666 : CASEY CERI : FRANKLIN, KY

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General NPI Number Information
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    NPI Number           |    1528505666
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    Entity Type          |    Individual 
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    Provider Name        |    CASEY CERI
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    01/27/2017
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    Last Update Date     |    04/28/2025
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Provider Practice Location Address
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    Address Line         |    1100 BROOKHAVEN RD 
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    City                 |    FRANKLIN
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    State                |    KY
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    Zip                  |    42134-2746
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    Country              |    US
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    Telephone            |    931-302-1903
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2266 NEW HOPE RD 
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    City                 |    HENDERSONVILLE
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    State                |    TN
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    Zip                  |    37075-8431
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    Country              |    US
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    Telephone            |    931-302-1906
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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        |    163W00000X
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    Taxonomy Name        |    Registered Nurse
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    License Number       |    181194
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    112907
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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       |    23278
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    License Number State |    TN
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Taxonomy #4
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    Taxonomy Code        |    367500000X
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    Taxonomy Name        |    Certified Registered Nurse Anesthetist
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    License Number       |    4037576
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    License Number State |    KY
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