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General NPI Number Information
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NPI Number | 1982941183
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Entity Type | Individual
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Provider Name | CASIE L. WODZIEN APRN
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Gender | Female
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Dates
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Enumeration Date | 01/08/2013
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Last Update Date | 04/23/2024
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Provider Practice Location Address
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Address Line | 8340 LAKEWOOD RANCH BLVD STE 101
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5183
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Country | US
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Telephone | 608-215-8134
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Fax |
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Provider Business Mailing Address
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Address Line | 14919 BOWFIN TER
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City | LAKEWOOD RANCH
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State | FL
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Zip | 34202-5822
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Country | US
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Telephone | 608-215-8134
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5173-33
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | ARNP9492729
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License Number State | FL
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