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General NPI Number Information
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NPI Number | 1972547792
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Entity Type | Organization
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Legal Business Name | ALANCATKINSONPHDPSYCHOLOGISTPC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5784 MAIN ST
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5702
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Country | US
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Telephone | 716-633-6863
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Fax | 716-633-9106
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Provider Business Mailing Address
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Address Line | 5784 MAIN ST
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5702
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Country | US
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Telephone | 716-633-6863
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Fax | 716-633-9106
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. ALAN C ATKINSON
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Credential | PH.D.
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Telephone | 716-633-6863
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 7523-1
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License Number State | NY
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