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General NPI Number Information
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NPI Number | 1285260489
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Entity Type | Organization
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Legal Business Name | ERIN M GIARDINA
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Dates
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Enumeration Date | 03/19/2020
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Last Update Date | 03/24/2020
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Provider Practice Location Address
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Address Line | 375 LINWOOD AVE
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City | BUFFALO
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State | NY
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Zip | 14209-1663
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Country | US
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Telephone | 716-246-1743
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Fax |
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Provider Business Mailing Address
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Address Line | 39 VERNON DR
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-1128
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Country | US
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Telephone | 716-246-1743
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Fax |
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Authorized Official
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Title or Position | OWNER OF ENTITY
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Name | ERIN M GIARDINA
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Credential | LCSW-R
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Telephone | 716-246-1743
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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 |
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License Number State |
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