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General NPI Number Information
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NPI Number | 1689214157
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Entity Type | Individual
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Provider Name | CASEY DAIL PRIEST DNP
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Gender | Female
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Dates
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Enumeration Date | 01/13/2020
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 145 HUNTERS FORK RD
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City | TYNER
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State | NC
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Zip | 27980-9416
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Country | US
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Telephone | 252-435-4778
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Fax |
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Provider Business Mailing Address
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Address Line | 423 COUNTY LINE RD
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City | TYNER
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State | NC
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Zip | 27980-9687
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Country | US
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Telephone | 252-435-4778
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F08190151
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License Number State | NC
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