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General NPI Number Information
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NPI Number | 1639489842
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Entity Type | Organization
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Legal Business Name | JENNIFER SCHNEIDER
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Dates
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Enumeration Date | 10/21/2010
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Last Update Date | 10/21/2010
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Provider Practice Location Address
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Address Line | 630 ORCHARD PARK RD
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City | WEST SENECA
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State | NY
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Zip | 14224-2671
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Country | US
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Telephone | 716-712-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 630 ORCHARD PARK RD
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City | WEST SENECA
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State | NY
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Zip | 14224-2671
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Country | US
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Telephone | 716-712-2000
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | ANDREW CZERNIAK
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Credential |
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Telephone | 716-712-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 000599-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 001749-1
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License Number State | NY
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