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General NPI Number Information
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NPI Number | 1881326783
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Entity Type | Individual
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Provider Name | NICHOLAS FRONCZAK LMHC
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Gender | Male
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Dates
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Enumeration Date | 06/29/2022
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Last Update Date | 06/29/2022
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Provider Practice Location Address
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Address Line | 12 CAPEN HALL
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City | BUFFALO
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State | NY
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Zip | 14260-1609
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Country | US
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Telephone | 662-071-6245
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Fax |
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Provider Business Mailing Address
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Address Line | 2655 MILLERSPORT HWY UNIT 259
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City | GETZVILLE
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State | NY
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Zip | 14068-7010
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Country | US
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Telephone | 716-245-6620
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 012553
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License Number State | NY
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