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General NPI Number Information
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NPI Number | 1548334683
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Entity Type | Organization
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Legal Business Name | NYSARC NIAGARA COUNTY CHAPTER
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 115 MEAD ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-4408
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Country | US
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Telephone | 716-297-6400
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Fax | 716-504-2624
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Provider Business Mailing Address
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Address Line | 1555 FACTORY OUTLET BLVD PO BOX 360
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-1798
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Country | US
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Telephone | 716-297-6400
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Fax | 716-504-2624
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Authorized Official
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Title or Position | CONTROLLER
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Name | MRS. A LYNELL NARKIEWICZ
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Credential |
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Telephone | 716-504-2625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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