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General NPI Number Information
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NPI Number | 1467089060
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Entity Type | Individual
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Provider Name | NICOLE KRISTINE HASSLER PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 04/07/2020
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Provider Practice Location Address
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Address Line | 10714 NORTH RD
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City | PERRYSBURG
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State | NY
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Zip | 14129-9746
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Country | US
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Telephone | 716-532-1049
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Fax |
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Provider Business Mailing Address
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Address Line | 26 MOORE AVE
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City | BUFFALO
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State | NY
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Zip | 14223-1512
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Country | US
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Telephone | 716-604-7466
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 023702
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License Number State | NY
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