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General NPI Number Information
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NPI Number | 1023039088
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Entity Type | Organization
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Legal Business Name | GENESEE VALLEY GROUP HEALTH ASSOC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 151 ELMVIEW AVE
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City | HAMBURG
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State | NY
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Zip | 14075-3762
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Country | US
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Telephone | 716-648-3040
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Fax | 716-656-4234
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Provider Business Mailing Address
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Address Line | 1185 SWEET HOME RD
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City | AMHERST
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State | NY
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Zip | 14226-1018
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Country | US
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Telephone | 716-689-3420
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Fax | 716-689-3472
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Authorized Official
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Title or Position | MANAGER, PHARMACY SERVICES
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Name | STEPHEN URBANSKI
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Credential | RPH
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Telephone | 716-689-3420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 3336M0002X
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Taxonomy Name | Mail Order Pharmacy
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 027326
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License Number State | NY
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Taxonomy #8
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | PH29884
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License Number State | FL
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