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General NPI Number Information
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NPI Number | 1477767986
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Entity Type | Organization
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Legal Business Name | SOUTHTOWNS RADIOLOGY ASSOCIATES,LLC
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Dates
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Enumeration Date | 05/10/2007
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Last Update Date | 09/18/2007
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Provider Practice Location Address
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Address Line | 550 ORCHARD PARK RD
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City | WEST SENECA
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State | NY
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Zip | 14224-2646
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Country | US
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Telephone | 716-558-5140
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Fax | 716-674-2697
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Provider Business Mailing Address
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Address Line | 3040 AMSDELL RD
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City | HAMBURG
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State | NY
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Zip | 14075-5835
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Country | US
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Telephone | 716-649-9000
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Fax | 716-649-9005
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MRS. PATRICIA A WEBB
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Credential |
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Telephone | 716-649-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085D0003X
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Taxonomy Name | Diagnostic Neuroimaging (Radiology) Physician
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License Number |
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License Number State |
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