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General NPI Number Information
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NPI Number | 1508132655
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Entity Type | Organization
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Legal Business Name | TOWN OF HAMBURG YOUTH RECREATION, AND SENIOR SERVICES
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Dates
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Enumeration Date | 03/22/2012
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Last Update Date | 03/22/2012
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Provider Practice Location Address
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Address Line | 4150 SOWLES RD
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City | HAMBURG
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State | NY
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Zip | 14075-7514
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Country | US
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Telephone | 716-646-0665
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Fax |
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Provider Business Mailing Address
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Address Line | 4150 SOWLES RD
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City | HAMBURG
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State | NY
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Zip | 14075-7514
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Country | US
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Telephone | 716-646-0665
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Fax |
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Authorized Official
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Title or Position | RECREATION SUPERVISOR
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Name | MS. BARBARA SCHEFFLER
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Credential |
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Telephone | 716-646-0665
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State |
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