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General NPI Number Information
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NPI Number | 1790562452
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Entity Type | Individual
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Provider Name | KASEY MERIE NIXON
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Gender | Female
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Dates
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Enumeration Date | 09/14/2023
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Last Update Date | 09/14/2023
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Provider Practice Location Address
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Address Line | 315 WALKER ST
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City | TILTONSVILLE
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State | OH
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Zip | 43963-1028
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Country | US
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Telephone | 740-859-5049
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Fax |
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Provider Business Mailing Address
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Address Line | 520 SAINT CLAIR AVE
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City | MINGO JUNCTION
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State | OH
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Zip | 43938-1139
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Country | US
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Telephone | 740-457-9474
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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