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General NPI Number Information
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NPI Number | 1700022332
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Entity Type | Organization
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Legal Business Name | HEART COMMUNITY ALLIANCE
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Dates
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Enumeration Date | 01/03/2009
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Last Update Date | 01/03/2009
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Provider Practice Location Address
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Address Line | 1131 KENSINGTON AVE
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City | BUFFALO
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State | NY
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Zip | 14215-1611
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Country | US
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Telephone | 716-834-0080
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Fax | 716-834-0084
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Provider Business Mailing Address
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Address Line | 1131 KENSINGTON AVE
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City | BUFFALO
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State | NY
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Zip | 14215-1611
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Country | US
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Telephone | 716-834-0080
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Fax | 716-834-0084
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Authorized Official
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Title or Position | MANAGING PARTNER
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Name | AKMAL SHAREEF
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Credential | LCSW-R, CASAC, MSW
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Telephone | 716-834-0080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 73 069549
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 73 069549
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 73 069549
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License Number State | NY
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