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General NPI Number Information
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NPI Number | 1588351910
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Entity Type | Individual
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Provider Name | REBECA RODRIGUEZ CASAS LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/18/2023
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Last Update Date | 04/26/2023
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Provider Practice Location Address
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Address Line | 1185 W CARMEL DR STE D4
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City | CARMEL
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State | IN
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Zip | 46032-8708
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Country | US
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Telephone | 317-569-5433
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Fax |
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Provider Business Mailing Address
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Address Line | 8627 MERIDIAN SQUARE DR
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City | INDIANAPOLIS
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State | IN
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Zip | 46240-2285
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34010372A
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License Number State | IN
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