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General NPI Number Information
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NPI Number | 1598271744
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Entity Type | Organization
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Legal Business Name | STEPHEN A NOVELLI, DC, P.C.
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Dates
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Enumeration Date | 12/26/2017
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Last Update Date | 11/05/2024
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Provider Practice Location Address
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Address Line | 3050 ORCHARD PARK RD # B
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City | BUFFALO
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State | NY
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Zip | 14224-4658
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Country | US
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Telephone | 716-573-6666
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1360
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City | ORCHARD PARK
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State | NY
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Zip | 14127-8360
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Country | US
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Telephone | 716-573-6666
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Fax | 716-805-8331
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Authorized Official
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Title or Position | OWNER, PRESIDENT
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Name | DR. STEPHEN NOVELLI
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Credential | DC
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Telephone | 716-573-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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