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General NPI Number Information
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NPI Number | 1629002274
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Entity Type | Individual
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Provider Name | TAMMY PAULEY LCSW-R
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Gender | Female
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 584 EAST MAIN STREET
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City | SPRINGVILLE
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State | NY
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Zip | 14141-1437
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Country | US
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Telephone | 716-592-4286
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Fax | 716-592-4287
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Provider Business Mailing Address
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Address Line | 3533 N BUFFALO ST
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1933
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Country | US
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Telephone | 716-592-4286
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Fax | 716-592-4287
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 073580
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License Number State | NY
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