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General NPI Number Information
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NPI Number | 1164436283
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Entity Type | Organization
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Legal Business Name | KENMORE MERCY HOSPITAL
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 08/26/2024
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Provider Practice Location Address
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Address Line | 2950 ELMWOOD AVE
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City | KENMORE
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State | NY
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Zip | 14217-1304
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Country | US
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Telephone | 716-447-6100
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Fax |
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Provider Business Mailing Address
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Address Line | 2950 ELMWOOD AVE
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City | KENMORE
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State | NY
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Zip | 14217-1304
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Country | US
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Telephone | 716-447-6100
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | DAVID P MACHOLZ
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Credential |
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Telephone | 716-601-3690
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 273Y00000X
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Taxonomy Name | Rehabilitation Hospital Unit
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License Number | 1404030H
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License Number State | NY
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