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General NPI Number Information
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NPI Number | 1407243298
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Entity Type | Organization
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Legal Business Name | CENTURY CARE SERVICES MEDICAL, PC
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Dates
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Enumeration Date | 04/20/2015
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Last Update Date | 04/27/2015
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Provider Practice Location Address
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Address Line | 45 SPINDRIFT DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7889
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Country | US
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Telephone | 716-810-9631
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Fax | 716-810-9652
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Provider Business Mailing Address
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Address Line | 45 SPINDRIFT DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7889
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Country | US
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Telephone | 716-810-9631
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Fax | 716-810-9652
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Authorized Official
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Title or Position | PRESIDENT
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Name | SATISH SHARMA
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Credential | MD
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Telephone | 716-810-9631
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 2085R0001X
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Taxonomy Name | Radiation Oncology Physician
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number |
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License Number State | NY
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Taxonomy #4
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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 | NY
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