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General NPI Number Information
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NPI Number | 1598399164
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Entity Type | Individual
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Provider Name | BRANDON E DRUMMOND LMHC
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Gender | Male
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Dates
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Enumeration Date | 02/23/2020
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Last Update Date | 02/23/2020
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Provider Practice Location Address
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Address Line | 42 LAKE ST STE D
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City | HAMBURG
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State | NY
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Zip | 14075-4937
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Country | US
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Telephone | 716-397-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 417 DOVE ST
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City | DUNKIRK
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State | NY
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Zip | 14048-2030
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Country | US
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Telephone |
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 010067
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License Number State | NY
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