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General NPI Number Information
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NPI Number | 1396080933
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Entity Type | Individual
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Provider Name | DAVID JAMES CASEY LCSW
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Gender | Male
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Dates
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Enumeration Date | 12/09/2012
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 2586 12TH PL SE
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City | SALEM
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State | OR
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Zip | 97302-2536
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Country | US
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Telephone | 503-371-4160
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Fax | 503-375-9727
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Provider Business Mailing Address
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Address Line | 51377 SW OLD PORTLAND RD
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City | SCAPPOOSE
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State | OR
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Zip | 97056-4023
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Country | US
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Telephone | 503-418-4222
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Fax | 503-418-4223
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | L8114
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 12-09-07
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License Number State | OR
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