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General NPI Number Information
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NPI Number | 1720738081
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Entity Type | Organization
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Legal Business Name | DANIEL CRAIGIE
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Dates
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Enumeration Date | 03/28/2022
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Last Update Date | 04/25/2022
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Provider Practice Location Address
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Address Line | 624 RIVER RD
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-6563
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Country | US
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Telephone | 716-693-9961
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Fax | 716-693-4402
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Provider Business Mailing Address
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Address Line | 33 ONTARIO ST
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City | LOCKPORT
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State | NY
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Zip | 14094-2815
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Country | US
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Telephone | 716-830-1420
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Fax |
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Authorized Official
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Title or Position | COUNSELOR
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Name | MR. DANIEL ROBERT CRAIGIE
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Credential | LMSW
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Telephone | 716-693-9961
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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 |
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License Number State |
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