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General NPI Number Information
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NPI Number | 1174516470
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Entity Type | Individual
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Provider Name | STEVEN B CASSEL PHD
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Gender | Male
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Dates
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Enumeration Date | 08/23/2005
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Last Update Date | 10/10/2011
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Provider Practice Location Address
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Address Line | 5310 NW 33RD AVE STE 221
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6376
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Country | US
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Telephone | 954-234-0622
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Fax | 954-345-5504
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Provider Business Mailing Address
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Address Line | 5310 NW 33RD AVE STE 221
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-6376
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Country | US
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Telephone | 954-234-0622
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Fax | 954-345-5504
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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 | 103TP0814X
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Taxonomy Name | Psychoanalysis Psychologist
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License Number | PY3898
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PY3898
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License Number State | FL
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