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General NPI Number Information
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NPI Number | 1205080389
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Entity Type | Individual
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Provider Name | MRS. ANNIKA T D'ANDREA
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Gender | Female
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Dates
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Enumeration Date | 11/16/2008
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Last Update Date | 05/12/2009
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Provider Practice Location Address
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Address Line | 1330 DRAKE RD
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City | BROCKPORT
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State | NY
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Zip | 14420-9646
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Country | US
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Telephone | 585-754-3121
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Fax |
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Provider Business Mailing Address
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Address Line | 1330 DRAKE RD
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City | BROCKPORT
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State | NY
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Zip | 14420-9646
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Country | US
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Telephone | 585-754-3121
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Fax |
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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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 | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 171R00000X
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Taxonomy Name | Interpreter
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 293075-1
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License Number State | NY
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Taxonomy #7
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 374T00000X
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Taxonomy Name | Religious Nonmedical Nursing Personnel
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License Number |
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License Number State |
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Taxonomy #10
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #11
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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