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General NPI Number Information
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NPI Number | 1497379093
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Entity Type | Organization
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Legal Business Name | COMPENDIOUS MEDICAL CARE PLLC
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Dates
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Enumeration Date | 05/31/2020
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Last Update Date | 11/01/2020
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Provider Practice Location Address
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Address Line | 725 ORCHARD PARK RD STE C
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City | WEST SENECA
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State | NY
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Zip | 14224-3352
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Country | US
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Telephone | 716-468-4888
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Fax | 716-271-5530
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Provider Business Mailing Address
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Address Line | 725 ORCHARD PARK RD STE C
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City | WEST SENECA
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State | NY
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Zip | 14224-3352
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Country | US
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Telephone | 716-468-4888
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Fax | 716-271-5530
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Authorized Official
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Title or Position | CEO & MEDICAL DIRECTOR
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Name | DR. JAVAID ASHRAF MALIK
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Credential | MD
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Telephone | 716-468-4888
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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