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NPI 1699569251

NPI 1699569251 : CLAIRE BELLAVIA HALL : CHEEKTOWAGA, NY

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General NPI Number Information
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    NPI Number           |    1699569251
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    Entity Type          |    Individual 
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    Provider Name        |    CLAIRE BELLAVIA HALL
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/08/2025
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    Last Update Date     |    04/08/2025
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Provider Practice Location Address
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    Address Line         |    2980 WILLIAM ST 
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    City                 |    CHEEKTOWAGA
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    State                |    NY
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    Zip                  |    14227-1918
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    Country              |    US
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    Telephone            |    716-892-2060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    25 ARCADE AVE 
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    City                 |    AMHERST
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    State                |    NY
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    Zip                  |    14226-2328
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    Country              |    US
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    Telephone            |    716-536-3919
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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        |    174400000X
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    Taxonomy Name        |    Specialist
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    License Number       |    2689646
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    License Number State |    NY
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