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General NPI Number Information
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NPI Number | 1861316036
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Entity Type | Individual
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Provider Name | CHERI DENISE CASANOVA
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Gender | Female
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 1650 LIBERTY LN
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City | PRINCETON
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State | TX
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Zip | 75407-5335
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Country | US
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Telephone | 806-786-6549
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 LIBERTY LN
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City | PRINCETON
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State | TX
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Zip | 75407-5335
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Country | US
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Telephone | 806-786-6549
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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 | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 687236
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License Number State | TX
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