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General NPI Number Information
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NPI Number | 1205472842
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Entity Type | Individual
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Provider Name | BRANT JOSEPH LINNETT CASAC
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Gender | Male
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Dates
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Enumeration Date | 11/19/2019
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Last Update Date | 09/16/2025
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Provider Practice Location Address
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Address Line | 55 ELM ST
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City | GLENS FALLS
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State | NY
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Zip | 12801-3670
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Country | US
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Telephone | 518-793-7273
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Fax |
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Provider Business Mailing Address
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Address Line | 5 EDWARD ST
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City | FORT EDWARD
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State | NY
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Zip | 12828-1907
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 30315
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License Number State | NY
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