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General NPI Number Information
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NPI Number | 1396407177
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Entity Type | Individual
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Provider Name | MICHAELENE ROSE DAWSON-GLOBUS
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Gender | Female
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Dates
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Enumeration Date | 10/09/2021
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Last Update Date | 10/09/2021
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Provider Practice Location Address
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Address Line | 2829 WEHRLE DR STE 12A
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7387
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Country | US
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Telephone | 716-359-3208
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Fax |
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Provider Business Mailing Address
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Address Line | 1391 GLIDDEN CIR
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City | DERBY
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State | NY
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Zip | 14047-9678
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Country | US
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Telephone | 716-359-3208
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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 | 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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