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General NPI Number Information
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NPI Number | 1164730339
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Entity Type | Individual
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Provider Name | STEPHANIE NICOLE KAMINSKA PA
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Gender | Female
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Dates
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Enumeration Date | 09/21/2010
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Last Update Date | 12/11/2018
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Provider Practice Location Address
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Address Line | 8750 TRANSIT RD SUITE 105
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City | EAST AMHERST
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State | NY
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Zip | 14051-2610
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Country | US
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Telephone | 716-636-1470
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Fax | 888-886-2563
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Provider Business Mailing Address
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Address Line | 8750 TRANSIT RD SUITE 105
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City | EAST AMHERST
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State | NY
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Zip | 14051-2610
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Country | US
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Telephone | 716-636-1470
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Fax | 888-886-2563
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 014158
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License Number State | NY
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