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1568971802 NPI number — KAREN MARTIN CASAC

NPI Number: 1568971802
Health Care Provider/Practitioner: KAREN MARTIN CASAC

Information about “1568971802” NPI (KAREN MARTIN CASAC) exists in 1568971802 in HTML format HTML  |  1568971802 in plain Text format TXT  |  1568971802 in PDF (Portable Document Format) PDF  |  1568971802 in an XML format XML  formats.

NPI Number : 1568971802 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1568971802",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "MARTIN",
    "FirstName": "KAREN",
    "MiddleName": null,
    "NamePrefix": "DR.",
    "NameSuffix": null,
    "Credential": "CASAC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "291 HAMPTON RD",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SOUTHAMPTON",
    "MailingAddressStateName": "NY",
    "MailingAddressPostalCode": "11968-5029",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "631-283-4440",
    "MailingAddressFaxNumber": "631-283-4456",
    "FirstLinePracticeLocationAddress": "291 HAMPTON RD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHAMPTON",
    "PracticeLocationAddressStateName": "NY",
    "PracticeLocationAddressPostalCode": "11968-5029",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "631-283-4440",
    "PracticeLocationAddressFaxNumber": "631-283-4456",
    "EnumerationDate": "09/28/2017",
    "LastUpdateDate": "07/21/2022",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "2-32663",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": "CASAC2-32663",
          "LicenseNumberStateCode": "NY",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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