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General NPI Number Information
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NPI Number | 1003889700
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Entity Type | Organization
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Legal Business Name | MARFATIA MEDICAL PLLC
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Dates
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Enumeration Date | 02/12/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 5596 ROUTE 19A
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City | CASTILE
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State | NY
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Zip | 14427-9757
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Country | US
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Telephone | 585-493-9230
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Fax | 585-786-0508
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Provider Business Mailing Address
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Address Line | 214 WYOMING ST
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City | WARSAW
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State | NY
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Zip | 14569-9523
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Country | US
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Telephone | 585-786-2769
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Fax | 585-786-0508
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. RASHNA A COOPER
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Credential |
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Telephone | 585-786-2769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 224172
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License Number State | NY
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