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General NPI Number Information
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NPI Number | 1154690907
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Entity Type | Organization
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Legal Business Name | SS. PETER&PAUL SCHOOL
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Dates
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Enumeration Date | 12/23/2011
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Last Update Date | 12/23/2011
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Provider Practice Location Address
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Address Line | 68 E MAIN ST
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City | HAMBURG
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State | NY
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Zip | 14075-5009
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Country | US
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Telephone | 716-649-7030
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Fax | 716-312-9313
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Provider Business Mailing Address
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Address Line | 68 EAST MAIN ST
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City | HAMBURG
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State | NY
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Zip | 14075
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Country | US
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Telephone | 716-649-7030
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Fax | 716-312-9313
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Authorized Official
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Title or Position | RN
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Name | MRS. JANICE MARIE DEMMERLEY
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Credential |
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Telephone | 716-649-7030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 255345
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License Number State | NY
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