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NPI 1669679775

NPI 1669679775 : DAVID CURTIS HERRMAN MSW : BUFFALO, NY

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General NPI Number Information
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    NPI Number           |    1669679775
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID CURTIS HERRMAN MSW
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/02/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    80 GOODRICH ST 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14203-1005
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    Country              |    US
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    Telephone            |    716-859-2942
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    Fax                  |    716-859-2560
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Provider Business Mailing Address
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    Address Line         |    220 N AUTUMN ST 
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    City                 |    WILLIAMSVILLE
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    State                |    NY
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    Zip                  |    14221-6645
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    Country              |    US
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    Telephone            |    716-859-2942
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    Fax                  |    716-859-2560
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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       |    
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    License Number State |    
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