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General NPI Number Information
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NPI Number | 1164243036
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Entity Type | Organization
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Legal Business Name | OTHER POSSIBILITIES LLC
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Dates
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Enumeration Date | 10/22/2024
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Last Update Date | 10/22/2024
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Provider Practice Location Address
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Address Line | 654 HERTEL AVE APT D
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City | BUFFALO
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State | NY
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Zip | 14207-2351
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Country | US
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Telephone | 716-785-2441
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 781
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City | BUFFALO
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State | NY
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Zip | 14207-0781
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Country | US
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Telephone | 716-785-2441
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RIVER-AAERIN ANATINUS NIAHLL
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Credential | LMFT
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Telephone | 716-785-2441
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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 |
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License Number State |
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