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General NPI Number Information
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NPI Number | 1326411513
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Entity Type | Individual
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Provider Name | NITA J MAKHIJA-GRAHAM PHD
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Gender | Female
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 11/15/2018
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Provider Practice Location Address
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Address Line | 5500 MAIN ST STE 308
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6737
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Country | US
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Telephone | 716-634-1184
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Fax |
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Provider Business Mailing Address
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Address Line | 7213 WOODMORE CT
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City | LOCKPORT
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State | NY
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Zip | 14094-6247
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Country | US
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Telephone | 716-628-2006
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 022620
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License Number State | NY
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