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General NPI Number Information
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NPI Number | 1770513566
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Entity Type | Individual
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Provider Name | ALISA LOU CASCIANO MED, LPC, NCC, PLLC
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Gender | Female
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Dates
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Enumeration Date | 07/04/2006
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Last Update Date | 05/12/2015
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Provider Practice Location Address
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Address Line | 602 EAST ACADEMY STREET SUITE 205
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City | FUGUAY-VARINA
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State | NC
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Zip | 27526
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Country | US
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Telephone | 919-552-9514
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Fax |
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Provider Business Mailing Address
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Address Line | 548 WANDERVIEW LN
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City | HOLLY SPRINGS
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State | NC
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Zip | 27540-6257
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Country | US
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Telephone | 919-995-4588
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 5079
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License Number State | NC
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