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General NPI Number Information
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NPI Number | 1225081714
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Entity Type | Organization
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Legal Business Name | SADASHIV S.SHENOY M.D.
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 07/24/2008
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Provider Practice Location Address
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Address Line | 2949 ELMWOOD AVE
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City | KENMORE
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State | NY
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Zip | 14217-1356
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Country | US
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Telephone | 716-876-4033
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Fax |
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Provider Business Mailing Address
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Address Line | 4488 E OVERLOOK DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6310
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Country | US
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Telephone | 716-631-6736
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. SADASHIV S. SHENOY
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Credential | M.D.
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Telephone | 716-631-8736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | 121816-1
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License Number State | NY
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