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General NPI Number Information
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NPI Number | 1194959577
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Entity Type | Organization
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Legal Business Name | JOHN J. DEMARCHI M.D., P.C.
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Dates
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Enumeration Date | 05/13/2009
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Last Update Date | 05/13/2009
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Provider Practice Location Address
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Address Line | 3673 SOUTHWESTERN BLVD.
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1732
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Country | US
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Telephone | 716-662-6832
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Fax |
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Provider Business Mailing Address
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Address Line | 3673 SOUTHWESTERN BLVD.
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1732
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Country | US
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Telephone | 716-662-6832
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN JAMES DEMARCHI
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Credential | M.D.
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Telephone | 716-662-6832
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 104410
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License Number State | NY
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