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General NPI Number Information
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NPI Number | 1417441262
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Entity Type | Organization
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Legal Business Name | SHERRY ANN VEROSTKO-SLAZAK DBA COMPASSIONATE HEALTHCARE
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Dates
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Enumeration Date | 06/15/2018
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Last Update Date | 06/15/2018
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Provider Practice Location Address
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Address Line | 1967 WEHRLE DR STE 10
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-8452
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Country | US
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Telephone | 716-458-0752
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Fax | 716-803-8568
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Provider Business Mailing Address
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Address Line | 1967 WEHRLE DR STE 10
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-8452
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Country | US
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Telephone | 716-458-0752
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Fax | 716-803-8568
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Authorized Official
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Title or Position | ANP
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Name | SHERRY ANN VEROSTKO-SLAZAK
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Credential |
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Telephone | 716-458-0752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 302553
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License Number State | NY
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