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General NPI Number Information
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NPI Number | 1043508179
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Entity Type | Organization
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Legal Business Name | EHS, INC.
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Dates
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Enumeration Date | 07/11/2011
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 206 SOUTH ELMWOOD AVE
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City | BUFFALO
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State | NY
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Zip | 14201
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Country | US
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Telephone | 716-541-0656
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Fax | 716-541-0661
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Provider Business Mailing Address
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Address Line | 206 SOUTH ELMWOOD AVE
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City | BUFFALO
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State | NY
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Zip | 14201
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Country | US
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Telephone | 716-541-0656
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Fax | 716-541-0661
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Authorized Official
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Title or Position | AVP OF REVENUE CYCLE MGMT
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Name | JESSICA ANNE STACK
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Credential |
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Telephone | 716-880-7399
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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 | 030723
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License Number State | NY
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Taxonomy #2
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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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