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General NPI Number Information
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NPI Number | 1023298387
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Entity Type | Individual
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Provider Name | MR. DEAN PAUL TRZEWIECZYNSKI
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Gender | Male
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 10/14/2009
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Provider Practice Location Address
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Address Line | 3050 UNION RD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1215
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Country | US
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Telephone | 716-677-4360
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Fax | 716-677-6710
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Provider Business Mailing Address
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Address Line | 2470 WALDEN AVE SUITE 2400
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-4751
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Country | US
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Telephone | 716-681-2968
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Fax | 716-681-2270
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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 | 046081
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License Number State | NY
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