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General NPI Number Information
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NPI Number | 1760276240
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Entity Type | Individual
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Provider Name | TERESA A CASIMIRE
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Gender | Female
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Dates
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Enumeration Date | 04/08/2025
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 184 HIGH ST # 705
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City | BOSTON
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State | MA
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Zip | 02110-3001
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Country | US
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Telephone | 866-600-7598
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Fax |
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Provider Business Mailing Address
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Address Line | 1507 RAVENA ST
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City | BETHLEHEM
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State | PA
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Zip | 18015-9423
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Country | US
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Telephone | 718-640-6392
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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 | MF001711P
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License Number State | PA
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