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General NPI Number Information
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NPI Number | 1750019113
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Entity Type | Individual
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Provider Name | CASEY NICOLE LABELLE PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1 VETERANS DR
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City | MINNEAPOLIS
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State | MN
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Zip | 55417-2309
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Country | US
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Telephone | 612-725-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 1411 ADAMS ST APT 108
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City | MANKATO
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State | MN
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Zip | 56001-5107
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Country | US
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Telephone | 561-306-4976
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | 125760
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License Number State | MN
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