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General NPI Number Information
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NPI Number | 1316197239
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Entity Type | Individual
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Provider Name | MARY ELLEN CALPIN LCAT, MT-BC
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Gender | Female
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Dates
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Enumeration Date | 09/28/2008
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Last Update Date | 09/28/2008
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Provider Practice Location Address
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Address Line | 2487 W CREEK RD
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City | NEWFANE
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State | NY
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Zip | 14108-9749
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Country | US
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Telephone | 716-778-6811
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Fax |
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Provider Business Mailing Address
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Address Line | 2487 W CREEK RD
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City | NEWFANE
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State | NY
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Zip | 14108-9749
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Country | US
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Telephone | 716-778-6811
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 000060
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License Number State | NY
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