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General NPI Number Information
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NPI Number | 1174010961
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Entity Type | Organization
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Legal Business Name | CAS COMPREHENSIVE ADDICTION SOLUTIONS
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Dates
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Enumeration Date | 04/17/2018
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Last Update Date | 04/17/2018
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Provider Practice Location Address
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Address Line | 283 CRANES ROOST BLVD STE 111
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-3437
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Country | US
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Telephone | 407-637-8095
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Fax | 407-215-7472
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Provider Business Mailing Address
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Address Line | 283 CRANES ROOST BLVD STE 111
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City | ALTAMONTE SPRINGS
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State | FL
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Zip | 32701-3437
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Country | US
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Telephone | 407-637-8095
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Fax | 407-215-7472
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL STEPHEN GROVER
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Credential | LMHC, CAP
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Telephone | 407-637-8095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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