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General NPI Number Information
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NPI Number | 1821368796
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Entity Type | Individual
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Provider Name | CASEY LANIUS CRNA
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Gender | Male
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 1740 NICHOLASVILLE RD CENTRAL BAPTIST HOSPTIAL
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City | LEXINGTON
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State | KY
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Zip | 40503-1431
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Country | US
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Telephone | 859-260-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 132 BRANDYWINE LN
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City | SPRINGFIELD
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State | TN
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Zip | 37172-5038
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Country | US
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Telephone | 615-310-5460
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 88109
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License Number State | TN
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