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General NPI Number Information
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NPI Number | 1568647337
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Entity Type | Organization
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Legal Business Name | WILLIAMSVILLE OBSTETRICS AND GYNECOLOGY
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Dates
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Enumeration Date | 12/29/2007
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Last Update Date | 12/29/2007
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Provider Practice Location Address
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Address Line | 30 NORTH UNION ROAD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221
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Country | US
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Telephone | 716-634-3316
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Fax |
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Provider Business Mailing Address
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Address Line | 30 NORTH UNION ROAD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221
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Country | US
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Telephone | 716-634-3316
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Fax | 716-632-7822
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Authorized Official
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Title or Position | MD
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Name | STANFORD COPLEY
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Credential | MD
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Telephone | 716-634-3316
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 089969
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License Number State | NY
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