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General NPI Number Information
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NPI Number | 1013185263
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Entity Type | Organization
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Legal Business Name | ADAM C. WOJCIECHOWSKI, RPA, P.C.
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Dates
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Enumeration Date | 02/11/2008
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Last Update Date | 02/11/2008
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Provider Practice Location Address
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Address Line | 40 W MAIN ST SUITE 1
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City | CUBA
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State | NY
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Zip | 14727-1404
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Country | US
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Telephone | 585-968-0529
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Fax | 585-968-0625
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Provider Business Mailing Address
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Address Line | 40 W MAIN ST SUITE 1
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City | CUBA
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State | NY
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Zip | 14727-1404
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Country | US
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Telephone | 585-968-0529
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Fax | 585-968-0625
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Authorized Official
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Title or Position | CEO
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Name | MR. ADAM CHRISTOPHER WOJCIECHOWSKI
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Credential | RPA
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Telephone | 585-968-0529
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 009378
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License Number State | NY
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