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General NPI Number Information
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NPI Number | 1336856350
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Entity Type | Individual
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Provider Name | AUDRIANNA CAITLIN SKARBEK
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Gender | Female
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Dates
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Enumeration Date | 10/31/2022
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Last Update Date | 10/31/2022
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Provider Practice Location Address
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Address Line | 3176 ABBOTT RD # 800
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1069
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Country | US
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Telephone | 716-795-6166
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Fax |
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Provider Business Mailing Address
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Address Line | 7112 TOWNLINE RD
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City | DERBY
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State | NY
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Zip | 14047-9623
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Country | US
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Telephone | 919-265-8262
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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 | 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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