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NPI 1942306691

NPI 1942306691 : RONALD ZENON PIASECZNY LMHC,CRC,CASAC-T,JD : ORCHARD PARK, NY

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General NPI Number Information
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    NPI Number           |    1942306691
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    Entity Type          |    Individual 
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    Provider Name        |    RONALD ZENON PIASECZNY LMHC,CRC,CASAC-T,JD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    09/16/2006
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    Last Update Date     |    12/13/2010
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Provider Practice Location Address
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    Address Line         |    227 THORN AVE 
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    City                 |    ORCHARD PARK
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    State                |    NY
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    Zip                  |    14127-2600
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    Country              |    US
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    Telephone            |    716-662-2040
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    Fax                  |    716-662-0019
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Provider Business Mailing Address
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    Address Line         |    34 N MAIN ST 
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    City                 |    WARSAW
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    State                |    NY
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    Zip                  |    14569-1326
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    Country              |    US
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    Telephone            |    585-786-0220
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    Fax                  |    585-786-3631
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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       |    004639
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    License Number State |    NY
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