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General NPI Number Information
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NPI Number | 1932995362
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Entity Type | Individual
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Provider Name | JASON EARL SIGNOR LMSW
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Gender |
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 300 INTERNATIONAL DR STE 100
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City | BUFFALO
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State | NY
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Zip | 14221-5783
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Country | US
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Telephone | 716-462-6296
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Fax | 716-463-2843
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Provider Business Mailing Address
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Address Line | 300 INTERNATIONAL DR STE 100
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City | BUFFALO
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State | NY
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Zip | 14221-5783
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Country | US
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Telephone | 716-462-6296
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Fax | 716-463-2843
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 104696
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License Number State | NY
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