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General NPI Number Information
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NPI Number | 1295870434
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Entity Type | Individual
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Provider Name | ROSE DAHN LPN
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Gender | Female
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1680 WALDEN AVE
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-4914
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Country | US
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Telephone | 716-894-7777
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Fax |
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Provider Business Mailing Address
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Address Line | 2793 SHERIDAN DR
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City | TONAWANDA
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State | NY
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Zip | 14150-9426
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Country | US
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Telephone | 716-832-5324
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 72875
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License Number State | NY
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