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General NPI Number Information
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NPI Number | 1306894522
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Entity Type | Organization
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Legal Business Name | SOUTH TOWNS SURGICAL ASSOCIATES P.C.
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 08/04/2015
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Provider Practice Location Address
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Address Line | 310 STERLING DRIVE SUITE 105
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City | ORCHARD PARK
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State | NY
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Zip | 14127
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Country | US
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Telephone | 716-675-7730
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Fax | 716-675-7735
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Provider Business Mailing Address
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Address Line | 310 STERLING DRIVE SUITE 105 SOUTH TOWNS SURGICAL ASSOCIATES, P.C.
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City | ORCHARD PARK
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State | NY
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Zip | 14127
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Country | US
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Telephone | 716-675-7730
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Fax | 716-675-7735
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | MR. DANIEL J. PATTERSON
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Credential | D.O.
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Telephone | 716-675-7730
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 170358
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License Number State | NY
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