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General NPI Number Information
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NPI Number | 1477619732
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Entity Type | Organization
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Legal Business Name | GYNECOLOGIC ONCOLOGY ASSOCIATES OF WESTERN NEW YORK PC
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Dates
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Enumeration Date | 12/29/2006
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Last Update Date | 12/28/2007
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Provider Practice Location Address
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Address Line | 1020 YOUNGS RD SUITE 130
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2642
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Country | US
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Telephone | 716-689-8519
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Fax | 716-689-7062
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Provider Business Mailing Address
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Address Line | 1020 YOUNGS RD SUITE 130
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2642
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Country | US
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Telephone | 716-689-8519
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Fax | 716-689-7062
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. TRUDY BAKER
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Credential | MD
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Telephone | 716-689-8519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VX0201X
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Taxonomy Name | Gynecologic Oncology Physician
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License Number |
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License Number State |
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