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General NPI Number Information
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NPI Number | 1326089087
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Entity Type | Individual
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Provider Name | SHARON RUTH WITTMAN-KLEIN R.P.A.-C
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Gender | Female
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 11/26/2014
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Provider Practice Location Address
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Address Line | 22 CAZENOVIA ST
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City | BUFFALO
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State | NY
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Zip | 14220-1706
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Country | US
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Telephone | 716-828-1410
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Fax | 716-828-1416
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Provider Business Mailing Address
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Address Line | 18 GRAFTON CT
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City | LANCASTER
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State | NY
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Zip | 14086-2361
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Country | US
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Telephone | 716-685-9383
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 007062
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 007062
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License Number State |
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