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General NPI Number Information
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NPI Number | 1275701328
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Entity Type | Organization
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Legal Business Name | DENNIS G. WINIECKI
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Dates
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Enumeration Date | 02/12/2008
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Last Update Date | 06/03/2008
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Provider Practice Location Address
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Address Line | 87 MEAD STREET
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120
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Country | US
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Telephone | 716-692-1451
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Fax | 716-692-1495
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Provider Business Mailing Address
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Address Line | 87 MEAD STREET
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120
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Country | US
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Telephone | 716-692-1451
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Fax | 716-692-1495
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Authorized Official
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Title or Position | OWNER
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Name | DR. DENNIS G WINIECKI
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Credential | DPM
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Telephone | 716-692-1451
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N2729
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License Number State | NY
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