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General NPI Number Information
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NPI Number | 1619920428
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Entity Type | Individual
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Provider Name | NANCY CZYRNY EBLING DO
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Gender | Male
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 11/06/2007
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Provider Practice Location Address
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Address Line | 3669 SOUTHWESTERN BLVD MERCY AMBULATORY CARE CENTER
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City | ORCHARD PARK
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State | NY
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Zip | 14127-4834
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Country | US
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Telephone | 716-688-2154
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Fax | 716-204-4501
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Provider Business Mailing Address
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Address Line | 6653 MAIN ST
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5906
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Country | US
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Telephone | 716-688-2154
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Fax | 716-204-4501
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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 | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 219755
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License Number State | NY
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