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NPI 1265017248

NPI 1265017248 : EMETT O MCCASKILL : NEW YORK, NY

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General NPI Number Information
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    NPI Number           |    1265017248
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    Entity Type          |    Organization 
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    Legal Business Name  |    EMETT O MCCASKILL 
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Dates
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    Enumeration Date     |    03/11/2021
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    Last Update Date     |    12/23/2025
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Provider Practice Location Address
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    Address Line         |    23 W 73RD ST STE 101 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10023-3104
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    Country              |    US
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    Telephone            |    646-864-8775
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    23 W 73RD ST STE 101 
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    City                 |    NEW YORK
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    State                |    NY
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    Zip                  |    10023-3104
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    Country              |    US
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    Telephone            |    917-244-4044
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     EMETT  MCCASKILL 
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    Credential           |    
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    Telephone            |    917-244-4044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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    License Number       |    
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    License Number State |    
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