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General NPI Number Information
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NPI Number | 1912620485
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Entity Type | Individual
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Provider Name | CASSANDRA CASIMIR LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2022
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Last Update Date | 09/20/2022
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Provider Practice Location Address
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Address Line | 9250 CORKSCREW RD SUITE 12
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City | ESTERO
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State | FL
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Zip | 33928-3216
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Country | US
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Telephone | 239-266-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 10103 VIA COLOMBA CIR
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City | FORT MYERS
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State | FL
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Zip | 33966-6552
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Country | US
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Telephone | 239-877-4915
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Fax |
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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 | SW18633
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License Number State | FL
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