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General NPI Number Information
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NPI Number | 1588253462
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Entity Type | Individual
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Provider Name | GARRETT STEPHEN CASEY CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/14/2021
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Last Update Date | 06/09/2026
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Provider Practice Location Address
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Address Line | 2301 N LAKE DR
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City | MILWAUKEE
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State | WI
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Zip | 53211-4508
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Country | US
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Telephone | 504-914-8118
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Fax |
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Provider Business Mailing Address
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Address Line | 601 E ERIE ST UNIT 314
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City | MILWAUKEE
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State | WI
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Zip | 53202-6223
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Country | US
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Telephone | 504-914-8118
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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 | 239710
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License Number State | LA
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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 | 131967
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License Number State | WI
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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 | 7397
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License Number State | NC
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