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General NPI Number Information
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NPI Number | 1184832776
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Entity Type | Individual
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Provider Name | CRAIG WILLIAM STRATTON CASAC
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Gender | Male
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Dates
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Enumeration Date | 05/18/2007
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Last Update Date | 10/15/2012
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Provider Practice Location Address
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Address Line | 1724 5TH AVE
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City | TROY
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State | NY
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Zip | 12180-3320
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Country | US
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Telephone | 518-272-3918
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Fax |
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Provider Business Mailing Address
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Address Line | 123 SIMMONS AVE APT 2N
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City | COHOES
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State | NY
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Zip | 12047-4118
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Country | US
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Telephone | 518-892-6228
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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 | 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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