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General NPI Number Information
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NPI Number | 1245899400
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Entity Type | Organization
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Legal Business Name | REBECCA CASKEY,LLC
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 600 S MAIN AVE
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City | MINNEOLA
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State | FL
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Zip | 34715-9578
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Country | US
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Telephone | 352-464-1076
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Fax |
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Provider Business Mailing Address
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Address Line | 600 S MAIN AVE
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City | MINNEOLA
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State | FL
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Zip | 34715-9578
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Country | US
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Telephone | 352-464-1076
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | REBECCA L CASKEY
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Credential | LMHC
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Telephone | 352-464-1076
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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