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General NPI Number Information
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NPI Number | 1003002577
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Entity Type | Organization
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Legal Business Name | DENARDIN FAMILY PRACTICE PLLC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 12/09/2013
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Provider Practice Location Address
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Address Line | 4949 HARLEM RD
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City | AMHERST
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State | NY
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Zip | 14226-2500
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Country | US
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Telephone | 716-839-1690
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Fax | 716-839-6743
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Provider Business Mailing Address
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Address Line | 4949 HARLEM RD
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City | AMHERST
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State | NY
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Zip | 14226-2500
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Country | US
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Telephone | 716-839-1690
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Fax | 716-839-6743
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MARGARET LAW
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Credential |
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Telephone | 716-656-0078
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 219474
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License Number State | NY
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