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General NPI Number Information
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NPI Number | 1366509424
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Entity Type | Individual
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Provider Name | JOHN FRANCIS CASEY LCSW-R
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Gender | Male
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Dates
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Enumeration Date | 01/01/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1814 COLLEGE POINT BLVD 2ND FLR
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City | COLLEGE POINT
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State | NY
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Zip | 11356-2241
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Country | US
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Telephone | 347-583-0974
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Fax |
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Provider Business Mailing Address
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Address Line | 14737 BEECH AVE 2A
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City | FLUSHING
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State | NY
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Zip | 11355-1264
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Country | US
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Telephone | 917-279-0965
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | R301480-1
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License Number State | NY
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