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General NPI Number Information
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NPI Number | 1750142535
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Entity Type | Individual
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Provider Name | ANTHONY PETER KASS III PSY.D
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Gender | Male
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Dates
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Enumeration Date | 01/19/2024
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 1210 PROGRESSIVE DR STE 101
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City | CHESAPEAKE
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State | VA
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Zip | 23320-2849
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Country | US
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Telephone | 757-386-4578
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Fax | 757-386-4604
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Provider Business Mailing Address
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Address Line | 1200 OLD KEMPSVILLE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23464-5900
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Country | US
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Telephone | 321-482-3232
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | VA
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