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General NPI Number Information
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NPI Number | 1114081601
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Entity Type | Organization
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Legal Business Name | WOMEN FIRST HEALTHCARE OF WESTERN NEW YORK PC
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Dates
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Enumeration Date | 12/20/2006
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 240 REDTAIL DR STE 5&6
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City | ORCHARD PARK
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State | NY
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Zip | 14127-0000
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Country | US
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Telephone | 716-677-0454
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Fax | 716-712-0061
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Provider Business Mailing Address
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Address Line | 240 REDTAIL DR STE 5&6
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City | ORCHARD PARK
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State | NY
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Zip | 14127-0000
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Country | US
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Telephone | 716-677-0454
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. GIL MICHAEL FARKASH
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Credential | MD
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Telephone | 716-677-0454
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 197614
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License Number State | NY
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