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General NPI Number Information
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NPI Number | 1093936932
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Entity Type | Organization
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Legal Business Name | CASTILE COMMUNITY MEDICAL CENTER
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Dates
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Enumeration Date | 05/01/2007
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 5596 ROUTE 19A
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City | CASTILE
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State | NY
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Zip | 14427-0505
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Country | US
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Telephone | 585-493-2587
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Fax | 585-493-5580
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Provider Business Mailing Address
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Address Line | 5596 ROUTE 19A CASTILE COMMUNITY MEDICAL CENTER
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City | CASTILE
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State | NY
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Zip | 14427-0505
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Country | US
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Telephone | 585-493-2587
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Fax | 585-493-5580
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CALVIN C SCHIERER
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Credential | DO
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Telephone | 585-493-0505
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 0022201
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 177372
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License Number State | NY
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