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General NPI Number Information
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NPI Number | 1891817672
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Entity Type | Individual
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Provider Name | DANIEL F CASELLA LMFT
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Gender | Male
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Dates
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Enumeration Date | 04/04/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 3745 MCCRAY STREET
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City | RIVERSIDE
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State | CA
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Zip | 92506
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Country | US
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Telephone | 909-557-0469
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Fax | 909-867-2174
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Provider Business Mailing Address
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Address Line | PO BOX 2722
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City | RUNNING SPRINGS
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State | CA
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Zip | 92382-2722
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Country | US
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Telephone | 909-557-0469
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Fax | 909-867-2174
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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 | MFC22108
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License Number State | CA
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