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General NPI Number Information
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NPI Number | 1952973828
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Entity Type | Organization
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Legal Business Name | CASEY MACGREGOR-TOSHIMA LCSW PC
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Dates
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Enumeration Date | 07/12/2021
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Last Update Date | 06/07/2024
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Provider Practice Location Address
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Address Line | 1000 FREMONT AVE UNIT D
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-3225
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Country | US
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Telephone | 626-657-8543
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Fax |
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Provider Business Mailing Address
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Address Line | 494 AVENUE 64
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City | PASADENA
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State | CA
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Zip | 91105-2257
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Country | US
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Telephone | 917-969-3009
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. CASEY R MACGREGOR TOSHIMA
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Credential | PHD LCSW
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Telephone | 917-969-3009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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