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General NPI Number Information
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NPI Number | 1497215636
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Entity Type | Individual
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Provider Name | JESSICA CZELADZINSKI LMT
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Gender | Female
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Dates
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Enumeration Date | 03/22/2019
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Last Update Date | 06/29/2023
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Provider Practice Location Address
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Address Line | 15 HEMLOCK LN
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City | AMHERST
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State | NY
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Zip | 14226-2340
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Country | US
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Telephone | 716-939-1334
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Fax |
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Provider Business Mailing Address
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Address Line | 15 HEMLOCK LN
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City | AMHERST
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State | NY
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Zip | 14226-2340
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Country | US
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Telephone | 716-939-1334
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 028226-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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