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General NPI Number Information
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NPI Number | 1891583878
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Entity Type | Organization
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Legal Business Name | WNY THERAPY
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 283 FRIES RD
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City | TONAWANDA
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State | NY
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Zip | 14150-8825
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Country | US
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Telephone | 716-368-9928
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Fax |
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Provider Business Mailing Address
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Address Line | 1313 ST TROPEZ CIR APT 1509
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City | WESTON
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State | FL
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Zip | 33326-3007
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HASAN RAZEQ
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Credential |
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Telephone | 716-368-9928
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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 |
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License Number State |
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