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General NPI Number Information
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NPI Number | 1144242967
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Entity Type | Individual
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Provider Name | MARCIA SMITH CRNA
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 09/26/2011
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Provider Practice Location Address
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Address Line | 3112 SHERIDAN DRIVE
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City | AMHERST
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State | NY
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Zip | 14226-1904
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Country | US
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Telephone | 716-831-9435
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Fax | 716-831-9475
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Provider Business Mailing Address
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Address Line | PO BOX 1625 AMBULATORY MEDICAL ANESTHESIA SERVICES, PC
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City | BUFFALO
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State | NY
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Zip | 14226
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Country | US
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Telephone | 716-634-8800
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Fax | 716-650-9622
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 267443
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License Number State | NY
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