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General NPI Number Information
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NPI Number | 1174292718
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Entity Type | Individual
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Provider Name | HOLLY ANGELA TOMASELLO LMHC
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Gender | Female
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Dates
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Enumeration Date | 09/08/2021
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 5555 MAIN ST
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5430
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Country | US
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Telephone | 716-228-0401
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Fax | 716-219-1268
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Provider Business Mailing Address
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Address Line | 2575 FARRIER LN
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City | EAST AURORA
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State | NY
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Zip | 14052-3125
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Country | US
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Telephone | 716-282-0401
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | P112560
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License Number State | NY
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