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General NPI Number Information
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NPI Number | 1457087199
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Entity Type | Organization
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Legal Business Name | JAMIE L DIMARCO LCSW PLLC
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Dates
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Enumeration Date | 07/26/2022
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Last Update Date | 07/26/2022
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Provider Practice Location Address
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Address Line | 24 WEST AVE STE 203
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City | SPENCERPORT
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State | NY
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Zip | 14559-1344
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Country | US
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Telephone | 716-474-3563
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Fax | 585-617-4118
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Provider Business Mailing Address
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Address Line | 5 LAND RE WAY APT 36
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City | SPENCERPORT
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State | NY
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Zip | 14559-1738
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Country | US
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Telephone | 716-474-3563
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ROBERT CASSERI
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Credential |
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Telephone | 716-474-3563
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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 |
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License Number State |
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