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General NPI Number Information
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NPI Number | 1811155757
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Entity Type | Individual
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Provider Name | MICHAEL KASPER LCSW
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Gender | Male
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Dates
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Enumeration Date | 05/28/2008
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Last Update Date | 05/28/2008
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Provider Practice Location Address
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Address Line | 20 SQUADRON BLVD SUITE 470
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City | NEW CITY
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State | NY
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Zip | 10956-5200
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Country | US
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Telephone | 212-369-6960
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Fax | 845-358-1970
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Provider Business Mailing Address
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Address Line | 40 ACKERMAN PL
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City | NYACK
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State | NY
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Zip | 10960-2106
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Country | US
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Telephone | 212-369-6960
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Fax | 845-358-1970
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PR 033212-1
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License Number State | NY
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