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General NPI Number Information
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NPI Number | 1770399057
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Entity Type | Individual
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Provider Name | NICKI MARIE CASADO APRN
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Gender | Female
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Dates
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Enumeration Date | 12/10/2024
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 408 7TH ST W
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City | PALMETTO
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State | FL
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Zip | 34221-5209
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Country | US
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Telephone | 941-803-7939
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1000 DEPT 394
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City | MEMPHIS
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State | TN
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Zip | 38148-0001
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Country | US
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Telephone | 941-300-4440
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Fax | 941-404-1760
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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 | APRN11036744
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License Number State | FL
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