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General NPI Number Information
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NPI Number | 1043652340
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Entity Type | Individual
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Provider Name | HOLLY CASPER MSED
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Gender | Female
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Dates
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Enumeration Date | 07/27/2013
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Last Update Date | 07/27/2013
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Provider Practice Location Address
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Address Line | 346 E 87TH ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10128-4844
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Country | US
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Telephone | 646-770-4557
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Fax |
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Provider Business Mailing Address
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Address Line | 346 E 87TH ST APT 3D
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City | NEW YORK
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State | NY
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Zip | 10128-4844
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 1191872
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License Number State | NY
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