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General NPI Number Information
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NPI Number | 1508517434
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Entity Type | Individual
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Provider Name | DAYNA AURORA MICELI LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 08/25/2025
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Provider Practice Location Address
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Address Line | 89B RIVER RD
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-5713
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Country | US
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Telephone | 716-693-9961
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Fax | 716-693-4402
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Provider Business Mailing Address
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Address Line | 461 PARKSIDE AVE
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City | BUFFALO
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State | NY
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Zip | 14216-3406
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Country | US
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Telephone | 315-532-8002
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 115001
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 100707
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License Number State | NY
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