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NPI 1659493443

NPI 1659493443 : FRANCIS JEREMIAH MARRACINO RPH : WEST SENECA, NY

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General NPI Number Information
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    NPI Number           |    1659493443
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    Entity Type          |    Individual 
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    Provider Name        |    FRANCIS JEREMIAH MARRACINO RPH
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/04/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    550 ORCHARD PARK RD 
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    City                 |    WEST SENECA
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    State                |    NY
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    Zip                  |    14224-2646
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    Country              |    US
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    Telephone            |    716-677-6400
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    Fax                  |    716-677-6401
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Provider Business Mailing Address
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    Address Line         |    18 BIRDSONG PKWY 
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    City                 |    ORCHARD PARK
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    State                |    NY
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    Zip                  |    14127-3066
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    Country              |    US
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    Telephone            |    716-667-1924
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    Fax                  |    716-677-6401
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    034829
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    License Number State |    NY
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