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General NPI Number Information
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NPI Number | 1396048575
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Entity Type | Individual
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Provider Name | ILENE FAITH KASKEL PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 04/25/2024
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Provider Practice Location Address
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Address Line | 4851 W HILLSBORO BLVD STE A1
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City | COCONUT CREEK
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State | FL
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Zip | 33073-4355
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Country | US
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Telephone | 561-463-2235
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Fax |
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Provider Business Mailing Address
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Address Line | 11089 HARBOUR SPRINGS CIR
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City | BOCA RATON
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State | FL
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Zip | 33428-1244
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Country | US
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Telephone | 561-345-0113
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PY8193
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License Number State | FL
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