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General NPI Number Information
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NPI Number | 1396145702
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Entity Type | Individual
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Provider Name | SUZETTE M CASABIANCA LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/04/2014
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Last Update Date | 09/27/2019
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Provider Practice Location Address
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Address Line | 2708 ALT 19 #507-10
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City | PALM HARBOR
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State | FL
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Zip | 34683-2665
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Country | US
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Telephone | 727-597-3303
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Fax | 727-865-5150
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Provider Business Mailing Address
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Address Line | P.O. BOX 883
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City | PORT RICHEY
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State | FL
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Zip | 34673
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Country | US
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Telephone | 727-597-3303
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Fax | 727-754-4230
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MT-2922
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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