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General NPI Number Information
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NPI Number | 1376694133
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Entity Type | Individual
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Provider Name | SHARON M MORAN LCSWR
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Gender | Female
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Dates
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Enumeration Date | 01/16/2007
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 2478 GEORGE URBAN BLVD
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City | DEPEW
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State | NY
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Zip | 14043
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Country | US
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Telephone | 716-799-9382
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Fax | 716-901-7407
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Provider Business Mailing Address
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Address Line | 291 RANDWOOD DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-1444
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Country | US
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Telephone | 716-568-1328
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 033253-1
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License Number State | NY
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