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General NPI Number Information
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NPI Number | 1194247155
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Entity Type | Organization
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Legal Business Name | ERIE COUNTY
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 07/12/2017
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Provider Practice Location Address
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Address Line | 134 W EAGLE ST STE 515
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City | BUFFALO
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State | NY
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Zip | 14202-3800
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Country | US
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Telephone | 716-858-4998
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Fax |
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Provider Business Mailing Address
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Address Line | 134 WEST EAGLE STREET 5TH FL, RM 515
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City | BUFFALO
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State | NY
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Zip | 14202
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR. CLERK TYPIST
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Name | MICHELLE TRAPPER
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Credential |
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Telephone | 716-858-8917
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2400X
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Taxonomy Name | Prison Health Clinic/Center
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License Number |
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License Number State |
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