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General NPI Number Information
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NPI Number | 1649161423
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Entity Type | Individual
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Provider Name | JENNIFER MURRAY CASACT
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 17515 ROCKAWAY BLVD
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City | JAMAICA
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State | NY
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Zip | 11434-5503
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Country | US
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Telephone | 917-678-5967
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Fax |
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Provider Business Mailing Address
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Address Line | 11 W 15TH RD
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City | BROAD CHANNEL
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State | NY
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Zip | 11693-1203
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Country | US
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Telephone | 917-678-5967
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Fax | 917-678-5967
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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 | 39993
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License Number State | NY
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