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General NPI Number Information
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NPI Number | 1336817410
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Entity Type | Individual
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Provider Name | KASEY HEDRICK RMHCI
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Gender | Female
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Dates
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Enumeration Date | 09/02/2021
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Last Update Date | 11/20/2024
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Provider Practice Location Address
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Address Line | 5806 OLD PASCO RD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33544-4011
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Country | US
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Telephone | 813-252-0475
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Fax |
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Provider Business Mailing Address
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Address Line | 8819 IVY STARK BLVD
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City | WESLEY CHAPEL
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State | FL
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Zip | 33545-2271
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Country | US
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Telephone | 813-252-0475
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH24651
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMH22827
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License Number State | FL
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