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General NPI Number Information
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NPI Number | 1871992669
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Entity Type | Organization
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Legal Business Name | BLAIR A- CASDIN, MSW, LCSW
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Dates
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Enumeration Date | 08/18/2014
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Last Update Date | 07/18/2024
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Provider Practice Location Address
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Address Line | 151 W. 88TH STREET GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10024
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Country | US
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Telephone | 917-740-3410
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Fax |
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Provider Business Mailing Address
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Address Line | 151 W. 88TH STREET GROUND FLOOR
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City | NEW YORK
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State | NY
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Zip | 10024
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Country | US
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Telephone | 917-740-3410
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Fax |
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Authorized Official
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Title or Position | MSW, LCSW
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Name | BLAIR CASDIN
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Credential | MSW
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Telephone | 917-740-3410
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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 | 069987
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License Number State | NY
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