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General NPI Number Information
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NPI Number | 1508687393
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Entity Type | Individual
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Provider Name | VANESSA VICTORIA MCCASKEY LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/23/2024
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 5724 GREEN ST FL 2
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City | BROWNSBURG
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State | IN
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Zip | 46112-1471
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Country | US
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Telephone | 317-515-0205
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Fax |
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Provider Business Mailing Address
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Address Line | 10621 GLENAYR DR
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City | CAMBY
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State | IN
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Zip | 46113-8926
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Country | US
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Telephone | 317-515-0205
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 35002316A
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License Number State | IN
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