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General NPI Number Information
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NPI Number | 1225099724
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Entity Type | Individual
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Provider Name | ELIZABETH HELEN NOWAK RPH
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Gender | Female
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Dates
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Enumeration Date | 04/01/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 65 GREY ST
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City | EAST AURORA
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State | NY
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Zip | 14052-2126
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Country | US
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Telephone | 716-655-6381
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Fax | 716-655-6431
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Provider Business Mailing Address
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Address Line | 52 GREGORY DR
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City | WEST SENECA
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State | NY
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Zip | 14224-1055
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Country | US
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Telephone | 716-826-0387
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 044469
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License Number State | NY
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