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General NPI Number Information
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NPI Number | 1609009372
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Entity Type | Organization
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Legal Business Name | SALAMANCE FAMILY HEALTH CENTER
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 08/28/2009
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Provider Practice Location Address
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Address Line | 4039 ROUTE 219 SUITE 102
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City | SALAMANCA
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State | NY
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Zip | 14779-9625
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Country | US
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Telephone | 716-945-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 10 DEVEREUX DR
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City | ALLEGANY
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State | NY
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Zip | 14706-1105
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Country | US
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Telephone | 812-322-0970
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ZIA MOHAMMED SHEIKH
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Credential | MD
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Telephone | 716-945-3000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 03421
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License Number State | NY
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