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General NPI Number Information
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NPI Number | 1023282282
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Entity Type | Individual
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Provider Name | DANIEL J WACHOWICZ PHARM.D.
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Gender | Male
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Dates
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Enumeration Date | 04/18/2008
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Last Update Date | 04/18/2008
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Provider Practice Location Address
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Address Line | 4133 VETERANS MEMORIAL DR
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City | BATAVIA
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State | NY
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Zip | 14020-1253
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Country | US
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Telephone | 585-345-1055
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Fax |
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Provider Business Mailing Address
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Address Line | 2962 CARNEY DR
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City | SANBORN
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State | NY
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Zip | 14132-9305
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 052415
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License Number State | NY
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