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General NPI Number Information
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NPI Number | 1053299503
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Entity Type | Individual
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Provider Name | DANIELLE MARIE THOMPSON
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Gender | Female
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Dates
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Enumeration Date | 08/22/2025
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Last Update Date | 08/22/2025
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Provider Practice Location Address
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Address Line | 75 CHESTNUT ST
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City | FREDONIA
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State | NY
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Zip | 14063-1649
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Country | US
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Telephone | 716-672-2731
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Fax |
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Provider Business Mailing Address
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Address Line | 8600 HUNT AVE
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City | EDEN
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State | NY
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Zip | 14057-1350
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Country | US
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Telephone | 716-261-5145
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 030443
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License Number State | NY
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