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General NPI Number Information
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NPI Number | 1902758360
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Entity Type | Individual
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Provider Name | CASEY LEE KUZNICZCI
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Gender | Male
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Dates
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Enumeration Date | 02/10/2026
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 7820 REDSKY DR
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City | CINCINNATI
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State | OH
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Zip | 45249-1632
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Country | US
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Telephone | 513-951-5553
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Fax | 443-450-9366
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Provider Business Mailing Address
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Address Line | 7675 STYRAX LN
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City | CINCINNATI
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State | OH
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Zip | 45236-3225
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Country | US
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Telephone | 513-419-9785
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Fax | 443-450-9366
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 190954
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License Number State | OH
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