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General NPI Number Information
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NPI Number | 1982687588
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Entity Type | Individual
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Provider Name | KATHRYN JEAN CASEY RN, NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/28/2005
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Last Update Date | 06/09/2020
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Provider Practice Location Address
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Address Line | 2315 STOCKTON BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95817-2201
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Country | US
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Telephone | 916-734-2011
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Fax |
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Provider Business Mailing Address
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Address Line | 8026 POCKET RD APT. 235
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City | SACRAMENTO
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State | CA
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Zip | 95831-5739
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Country | US
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Telephone | 510-589-3982
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 565487
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 15889
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License Number State | CA
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