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General NPI Number Information
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NPI Number | 1558889428
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Entity Type | Individual
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Provider Name | ERIC KAHN LMT
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Gender | Male
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Dates
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Enumeration Date | 08/31/2017
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Last Update Date | 08/31/2017
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Provider Practice Location Address
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Address Line | 770 NIAGARA FALLS BLVD SUITE 3
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City | BUFFALO
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State | NY
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Zip | 14223-1837
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Country | US
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Telephone | 716-462-4693
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Fax |
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Provider Business Mailing Address
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Address Line | 328 ROBERT DR APT 6
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-5665
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 02776
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License Number State | NY
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