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General NPI Number Information
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NPI Number | 1689565467
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Entity Type | Individual
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Provider Name | GIANINA CASALE
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Gender |
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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 | 414 N MAIN ST # 103
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City | GRAPEVINE
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State | TX
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Zip | 76051-3395
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Country | US
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Telephone | 817-961-1600
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Fax |
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Provider Business Mailing Address
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Address Line | 328 OAK HOLLOW WAY
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City | LITTLE ELM
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State | TX
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Zip | 75068-1769
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 206081
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 225600000X
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Taxonomy Name | Dance Therapist
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License Number | 2937
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License Number State |
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