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General NPI Number Information
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NPI Number | 1144299892
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Entity Type | Organization
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Legal Business Name | TWIN CITY PHYSICIANS GROUP P.C.
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Dates
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Enumeration Date | 03/15/2006
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Last Update Date | 06/12/2008
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Provider Practice Location Address
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Address Line | 445 TREMONT ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-6150
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Country | US
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Telephone | 716-694-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 50 ALCONA AVE
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City | AMHERST
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State | NY
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Zip | 14226-2201
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Country | US
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Telephone | 716-834-1191
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Fax | 716-834-1382
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Authorized Official
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Title or Position | PHYSICIAN
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Name | JOSEPH TAKATS III
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Credential | D.O.
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Telephone | 716-447-8868
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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