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General NPI Number Information
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NPI Number | 1750728788
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Entity Type | Individual
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Provider Name | CASEY VERL WOOLSEY MSHS, PA-C
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Gender | Male
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Dates
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Enumeration Date | 05/31/2013
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 817 E PLUM ST
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City | MOSES LAKE
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State | WA
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Zip | 98837-1870
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Country | US
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Telephone | 509-765-7835
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Fax | 509-765-6705
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Provider Business Mailing Address
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Address Line | 2219 RIMLAND DR STE 301
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City | BELLINGHAM
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State | WA
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Zip | 98226-8759
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Country | US
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Telephone | 253-922-4027
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Fax | 844-222-0800
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA030947
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | PA61000052
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | C0006788
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License Number State | MD
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