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General NPI Number Information
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NPI Number | 1881726867
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Entity Type | Individual
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Provider Name | TIMOTHY JOHN CASSUTT PH.D.
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Gender | Male
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Dates
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Enumeration Date | 03/12/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1260 TROPICAL AVE
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City | PASADENA
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State | CA
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Zip | 91107-1619
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Country | US
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Telephone | 626-351-0888
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Fax | 626-351-0888
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Provider Business Mailing Address
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Address Line | 130 S EUCLID AVE SUITE 4
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City | PASADENA
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State | CA
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Zip | 91101-2446
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Country | US
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Telephone | 626-351-0888
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Fax | 626-351-0888
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY15108
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License Number State | CA
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