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General NPI Number Information
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NPI Number | 1740502491
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Entity Type | Organization
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Legal Business Name | MARI D TASCA, LCSW, ACSW, L.L.C.
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Dates
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Enumeration Date | 02/23/2010
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Last Update Date | 02/17/2011
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Provider Practice Location Address
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Address Line | 2821 ALT US HWY 27 S
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City | SEBRING
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State | FL
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Zip | 33870-4972
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Country | US
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Telephone | 863-382-3919
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Fax | 863-402-0700
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Provider Business Mailing Address
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Address Line | 2821 ALT US HWY 27 S
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City | SEBRING
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State | FL
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Zip | 33870-4972
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Country | US
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Telephone | 863-382-3914
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Fax | 863-402-0700
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARI D TASCA
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Credential |
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Telephone | 863-382-3914
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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 | SW5910
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License Number State | FL
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