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General NPI Number Information
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NPI Number | 1467733618
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Entity Type | Individual
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Provider Name | RANDALL KASZYNSKI MA, LPC, MT-BC
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Gender | Male
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Dates
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Enumeration Date | 09/01/2011
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Last Update Date | 02/13/2020
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Provider Practice Location Address
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Address Line | 2029 S ELMS RD STE 102
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City | SWARTZ CREEK
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State | MI
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Zip | 48473
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Country | US
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Telephone | 248-953-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 2029 S ELMS RD STE 102
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City | SWARTZ CREEK
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State | MI
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Zip | 48473-9766
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Country | US
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Telephone | 810-269-7557
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 10003
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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