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General NPI Number Information
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NPI Number | 1962378513
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Entity Type | Individual
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Provider Name | JESSICA LEE LMSW
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Gender | Female
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Dates
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Enumeration Date | 10/13/2025
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Last Update Date | 10/13/2025
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Provider Practice Location Address
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Address Line | 6465 TRANSIT RD STE 20
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City | EAST AMHERST
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State | NY
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Zip | 14051-1414
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Country | US
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Telephone | 716-514-6695
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Fax |
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Provider Business Mailing Address
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Address Line | 2445 SAUNDERS SETTLEMENT RD
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City | SANBORN
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State | NY
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Zip | 14132-9378
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Country | US
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Telephone | 716-435-0112
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | P136493
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License Number State | NY
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