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General NPI Number Information
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NPI Number | 1467991299
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Entity Type | Organization
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Legal Business Name | ZALI PSYCHOLOGY PC
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Dates
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Enumeration Date | 02/13/2017
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Last Update Date | 02/13/2017
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Provider Practice Location Address
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Address Line | 300 INTERNATIONAL DR STE 100 OFFICE 121
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5783
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Country | US
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Telephone | 510-387-1104
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Fax | 716-727-0817
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Provider Business Mailing Address
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Address Line | 300 INTERNATIONAL DR STE 100 OFFICE 121
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5783
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Country | US
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Telephone | 510-387-1104
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Fax | 716-727-0817
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. GINA MARIE ZALI
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Credential | PSY.D./ OTR/L
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Telephone | 510-387-1104
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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 | 021233
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License Number State | NY
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