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General NPI Number Information
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NPI Number | 1841074705
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Entity Type | Individual
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Provider Name | CASEY KRONTZ
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Gender | Female
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Dates
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Enumeration Date | 08/22/2023
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Last Update Date | 08/22/2023
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Provider Practice Location Address
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Address Line | 13681 DOCTORS WAY
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City | FORT MYERS
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State | FL
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Zip | 33912-4300
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Country | US
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Telephone | 239-343-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 21619 PORTRUSH RUN
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City | ESTERO
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State | FL
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Zip | 33928-6220
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Country | US
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Telephone |
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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 | 163WN0800X
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Taxonomy Name | Neuroscience Registered Nurse
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License Number | RN9590496
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License Number State | FL
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