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General NPI Number Information
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NPI Number | 1265484935
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Entity Type | Individual
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Provider Name | CINDRA A SHANGREAU DPH
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Gender | Female
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 12/30/2011
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Provider Practice Location Address
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Address Line | 3495 BAILEY AVE VAWNYHCS PHARMACY (119)
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City | BUFFALO
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State | NY
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Zip | 14215-1129
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Country | US
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Telephone | 716-834-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 10507 SISSON HWY
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City | EDEN
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State | NY
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Zip | 14057-9707
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Country | US
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Telephone | 716-337-3738
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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 | 9736
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License Number State | OK
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