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General NPI Number Information
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NPI Number | 1407511132
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Entity Type | Individual
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Provider Name | LISA K. MCCASKILL NP
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Gender | Female
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Dates
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Enumeration Date | 11/08/2021
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Last Update Date | 05/02/2023
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Provider Practice Location Address
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Address Line | 700 WHITE PLAINS RD STE 270
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City | SCARSDALE
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State | NY
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Zip | 10583-5013
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Country | US
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Telephone | 914-512-3411
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Fax | 646-967-4075
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Provider Business Mailing Address
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Address Line | 23 WATER GRANT ST APT 8B
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City | YONKERS
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State | NY
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Zip | 10701-3587
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Country | US
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Telephone | 914-525-6766
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 310468
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License Number State | NY
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