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General NPI Number Information
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NPI Number | 1255689279
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Entity Type | Organization
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Legal Business Name | CASSANDRA STARINSKY, LISW-S, LLC
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Dates
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Enumeration Date | 08/23/2012
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 287 W JOHNSTOWN RD
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City | GAHANNA
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State | OH
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Zip | 43230-2732
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Country | US
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Telephone | 614-406-0402
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Fax |
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Provider Business Mailing Address
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Address Line | 287 W JOHNSTOWN RD
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City | GAHANNA
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State | OH
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Zip | 43230-2732
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Country | US
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Telephone | 614-406-0402
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CASSANDRA MICHEL STARINSKY
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Credential | LISW-S
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Telephone | 614-506-0402
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | I.0900229
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License Number State | OH
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