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NPI 1770927634

NPI 1770927634 : CHRISTINA VU CASEY DO : CARROLLTON, TX

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General NPI Number Information
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    NPI Number           |    1770927634
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA VU CASEY DO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/23/2013
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    Last Update Date     |    01/25/2023
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Provider Practice Location Address
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    Address Line         |    1000 E BELT LINE RD STE 112 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75006-6282
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    Country              |    US
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    Telephone            |    972-338-5574
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    Fax                  |    469-393-7206
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Provider Business Mailing Address
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    Address Line         |    1000 E BELT LINE RD STE 112 
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    City                 |    CARROLLTON
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    State                |    TX
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    Zip                  |    75006-6282
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    Country              |    US
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    Telephone            |    972-338-5574
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    Fax                  |    469-393-7206
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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        |    207Q00000X
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    Taxonomy Name        |    Family Medicine Physician
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    License Number       |    Q5632
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    License Number State |    TX
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