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General NPI Number Information
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NPI Number | 1568386613
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Entity Type | Individual
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Provider Name | TODD DAVID SCOTT CASAC- T
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Gender | Male
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Dates
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Enumeration Date | 08/10/2026
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Last Update Date | 08/10/2026
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Provider Practice Location Address
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Address Line | 560 ROUTE 303
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City | BLAUVELT
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State | NY
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Zip | 10913
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Country | US
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Telephone | 718-206-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 38 E HICKORY ST
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City | SPRING VALLEY
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State | NY
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Zip | 10977-4334
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Country | US
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Telephone | 845-269-0161
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 40993
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License Number State | NY
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