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General NPI Number Information
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NPI Number | 1689726952
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Entity Type | Individual
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Provider Name | JEANNE MARIE BINNER LCSWR
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Gender | Female
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Dates
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Enumeration Date | 01/17/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1170 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14209-2331
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Country | US
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Telephone | 716-882-1025
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Fax | 716-882-5577
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Provider Business Mailing Address
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Address Line | 908 NIAGARA FALLS BLVD STE 208
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City | N TONAWANDA
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State | NY
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Zip | 14120-2019
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Country | US
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Telephone | 716-692-2160
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Fax | 716-332-3658
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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 | R073823
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License Number State | NY
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