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General NPI Number Information
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NPI Number | 1538522941
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Entity Type | Individual
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Provider Name | CASEY VIZENOR CNM
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Gender | Female
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Dates
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Enumeration Date | 04/02/2016
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Last Update Date | 06/17/2016
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Provider Practice Location Address
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Address Line | 2401 E EVESHAM RD STE A
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City | VOORHEES
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State | NJ
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Zip | 08043-9590
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Country | US
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Telephone | 856-424-3323
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Fax | 856-424-4994
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Provider Business Mailing Address
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Address Line | PO BOX 536
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City | VOORHEES
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State | NJ
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Zip | 08043-0536
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Country | US
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Telephone | 856-669-6024
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Fax | 856-651-0794
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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 | 26NR18297700
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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