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General NPI Number Information
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NPI Number | 1326547969
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Entity Type | Organization
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Legal Business Name | PERSON CENTERED SERVICES CARE COORDINATION ORGANIZATION LLC
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Dates
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Enumeration Date | 02/09/2018
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Last Update Date | 09/03/2019
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Provider Practice Location Address
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Address Line | 560 DELAWARE AVENUE SUITE 400
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City | BUFFALO
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State | NY
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Zip | 14202
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Country | US
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Telephone | 716-324-5100
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Fax | 716-783-9036
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Provider Business Mailing Address
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Address Line | 560 DELAWARE AVENUE SUITE 400
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City | BUFFALO
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State | NY
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Zip | 14202
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Country | US
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Telephone | 716-324-5100
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Fax | 716-783-9036
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Authorized Official
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Title or Position | CFO
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Name | KATHRINE PANZARELLA
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Credential |
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Telephone | 716-324-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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