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General NPI Number Information
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NPI Number | 1659524247
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Entity Type | Individual
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Provider Name | THOMAS J SZCZYGIEL LCSW-R
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Gender | Male
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 27 TOBEY HILL DR
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City | WEST SENECA
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State | NY
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Zip | 14224-4237
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Country | US
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Telephone | 518-390-4391
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Fax |
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Provider Business Mailing Address
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Address Line | 27 TOBEY HILL DRIVE
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City | WEST SENECA
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State | NY
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Zip | 14224
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Country | US
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Telephone | 518-390-4391
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Fax | 518-462-3099
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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 | 077142-1
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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 | R078645-1
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License Number State | NY
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