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General NPI Number Information
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NPI Number | 1457117038
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Entity Type | Organization
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Legal Business Name | JULIE HASSELBECK, LCSW PLLC
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Dates
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Enumeration Date | 02/22/2024
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Last Update Date | 02/22/2024
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Provider Practice Location Address
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Address Line | 2178 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14214-2634
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Country | US
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Telephone | 716-939-1112
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Fax |
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Provider Business Mailing Address
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Address Line | 2178 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14214-2634
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Country | US
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Telephone | 716-939-1112
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | JULIE MARIE HASSELBECK
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Credential | LCSW
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Telephone | 716-939-1112
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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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