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General NPI Number Information
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NPI Number | 1306264940
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Entity Type | Organization
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Legal Business Name | WNY ACUPUNCTUREWORKS PC
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Dates
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Enumeration Date | 04/01/2014
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Last Update Date | 04/01/2014
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Provider Practice Location Address
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Address Line | 1961 WEHRLE DR STE 7
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-8460
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Country | US
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Telephone | 716-983-9842
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Fax | 716-276-8866
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Provider Business Mailing Address
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Address Line | 1961 WEHRLE DR STE 7
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-8460
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Country | US
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Telephone | 716-983-9842
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Fax | 716-276-8866
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Authorized Official
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Title or Position | OWNER
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Name | MRS. ANDREA MICHELE SCHILLING
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Credential | LA.C, L.M.T
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Telephone | 716-983-9842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 0045711
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License Number State | NY
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