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General NPI Number Information
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NPI Number | 1356809990
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Entity Type | Organization
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Legal Business Name | ATLANTIC CONSULTING AND THERAPY SPECIALISTS, PA
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Dates
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Enumeration Date | 03/02/2019
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Last Update Date | 12/11/2019
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Provider Practice Location Address
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Address Line | 3493-E EVANS STREET
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City | GREENVILLE
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State | NC
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Zip | 27834-4535
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Country | US
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Telephone | 252-565-8836
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Fax | 252-565-8837
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Provider Business Mailing Address
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Address Line | 3493 EVANS ST STE E
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City | GREENVILLE
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State | NC
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Zip | 27834-4535
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Country | US
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Telephone | 252-565-8836
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL J CASCIO
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Credential | MSW, LCSW
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Telephone | 252-565-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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