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General NPI Number Information
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NPI Number | 1558562983
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Entity Type | Organization
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Legal Business Name | WOMEN'S CHRISTIAN ASSOCIATION
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Dates
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Enumeration Date | 05/31/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 134 TEMPLE ST
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City | FREDONIA
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State | NY
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Zip | 14063-1712
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Country | US
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Telephone | 716-672-7961
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Fax | 716-672-3496
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Provider Business Mailing Address
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Address Line | 134 TEMPLE ST
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City | FREDONIA
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State | NY
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Zip | 14063-1712
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Country | US
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Telephone | 716-672-7961
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Fax | 716-672-3496
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. TAMMY SKELLY
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Credential |
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Telephone | 716-672-7961
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0561A001
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License Number State | NY
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