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General NPI Number Information
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NPI Number | 1669949939
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Entity Type | Individual
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Provider Name | MICHELLE CASARELLA PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 10/25/2018
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Last Update Date | 10/25/2018
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Provider Practice Location Address
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Address Line | 7 SKYLINE DR STE 350
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City | HAWTHORNE
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State | NY
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Zip | 10532-2162
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Country | US
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Telephone | 914-269-8877
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Fax |
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Provider Business Mailing Address
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Address Line | 2 NORTH RD
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City | BREWSTER
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State | NY
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Zip | 10509-1014
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Country | US
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Telephone | 914-469-5748
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 022541
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License Number State | NY
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