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General NPI Number Information
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NPI Number | 1538343835
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Entity Type | Individual
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Provider Name | WILLIAM O'CONNOR CASAC
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Gender | Male
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Dates
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Enumeration Date | 12/21/2007
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Last Update Date | 12/21/2007
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Provider Practice Location Address
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Address Line | 2 WASHINGTON ST 9TH FLOOR, RINA
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City | NEW YORK
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State | NY
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Zip | 10004-1008
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Country | US
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Telephone | 212-425-2900
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Fax | 212-363-8530
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Provider Business Mailing Address
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Address Line | 2 WASHINGTON ST 9TH FLOOR, RINA
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City | NEW YORK
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State | NY
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Zip | 10004-1008
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Country | US
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Telephone | 212-425-2900
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Fax | 212-363-8530
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 18694
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License Number State | NY
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