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General NPI Number Information
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NPI Number | 1053086066
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Entity Type | Organization
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Legal Business Name | D'YOUVILLE COLLEGE
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Dates
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Enumeration Date | 08/11/2021
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Last Update Date | 08/11/2021
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Provider Practice Location Address
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Address Line | 301 CONNECTICUT ST
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City | BUFFALO
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State | NY
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Zip | 14213-2541
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Country | US
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Telephone | 716-923-4617
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Fax |
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Provider Business Mailing Address
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Address Line | 320 PORTER AVE
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City | BUFFALO
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State | NY
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Zip | 14201-1032
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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 | VICE PRESIDENT
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Name | NATHAN MARTON
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Credential |
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Telephone | 716-829-7583
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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