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General NPI Number Information
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NPI Number | 1386646230
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Entity Type | Individual
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Provider Name | RITA ROSE SLOAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/11/2005
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Last Update Date | 10/20/2015
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Provider Practice Location Address
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Address Line | 3615 SENECA ST
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City | WEST SENECA
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State | NY
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Zip | 14224-3444
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Country | US
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Telephone | 716-675-2660
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Fax |
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Provider Business Mailing Address
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Address Line | 6255 SHERIDAN DR SUITE 304
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-4836
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Country | US
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Telephone | 716-630-2562
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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 | 207KA0200X
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Taxonomy Name | Allergy Physician
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License Number | 172835
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License Number State | NY
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