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General NPI Number Information
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NPI Number | 1083976898
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Entity Type | Organization
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Legal Business Name | NIAGARA UNIVERSITY HEALTH SERVICES
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Dates
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Enumeration Date | 06/08/2012
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Last Update Date | 06/08/2012
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Provider Practice Location Address
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Address Line | 5795 LEWISTON RD
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City | NIAGARA UNIVERSITY
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State | NY
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Zip | 14109-9809
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Country | US
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Telephone | 716-286-8390
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Fax | 716-286-8391
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Provider Business Mailing Address
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Address Line | 5795 LEWISTON RD
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City | NIAGARA UNIVERSITY
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State | NY
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Zip | 14109-9809
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Country | US
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Telephone | 716-286-8390
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Fax | 716-286-8391
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH SERVICES
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Name | MRS. LORI A SOOS
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Credential | MA,BSN
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Telephone | 716-286-8390
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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