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General NPI Number Information
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NPI Number | 1972830636
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Entity Type | Individual
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Provider Name | JENNIFER LYNNE CASWELL PA
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Gender | Female
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Dates
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Enumeration Date | 11/17/2009
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Last Update Date | 07/09/2019
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Provider Practice Location Address
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Address Line | 3955 PATIENT CARE DR
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City | LANSING
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State | MI
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Zip | 48911
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Country | US
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Telephone | 517-374-7600
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Fax | 855-495-5457
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Provider Business Mailing Address
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Address Line | 3955 PATIENT CARE DR
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City | LANSING
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State | MI
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Zip | 48911-4299
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Country | US
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Telephone | 517-374-7600
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Fax | 855-495-5457
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601005553
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License Number State | MI
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