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General NPI Number Information
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NPI Number | 1447400544
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Entity Type | Individual
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Provider Name | SYLVIA MARIE VASCONCELLOS FNP
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Gender | Female
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Dates
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Enumeration Date | 09/25/2008
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Last Update Date | 10/06/2008
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Provider Practice Location Address
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Address Line | 515 ABBOTT RD. / SUITE 306 BUFFALO MERCY HOSPITAL
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City | BUFFALO
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State | NY
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Zip | 14220
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Country | US
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Telephone | 716-828-2740
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 131 9616 MAREK RD.
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City | OTTO
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State | NY
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Zip | 14766-0131
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Country | US
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Telephone | 716-257-5060
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 452496-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F335552-1
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License Number State | NY
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