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General NPI Number Information
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NPI Number | 1770862807
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Entity Type | Individual
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Provider Name | GINA MARIE ZALI PSY D., OTR/L
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Gender | Female
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Dates
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Enumeration Date | 08/07/2011
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Last Update Date | 04/23/2022
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Provider Practice Location Address
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Address Line | 5820 MAIN ST STE 406
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5734
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Country | US
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Telephone | 716-202-2210
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Fax | 716-720-2071
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Provider Business Mailing Address
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Address Line | 5820 MAIN ST STE 406
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5734
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Country | US
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Telephone | 716-202-2210
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Fax | 716-720-2071
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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 | 103TH0004X
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Taxonomy Name | Health Psychologist
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License Number | 021233
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 021233
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number | 021233
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 103G00000X
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Taxonomy Name | Clinical Neuropsychologist
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License Number | 021233
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License Number State | NY
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