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General NPI Number Information
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NPI Number | 1659734010
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Entity Type | Organization
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Legal Business Name | SOUTH BUFFALO HEALTH AND WELLNESS INC
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Dates
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Enumeration Date | 04/03/2016
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Last Update Date | 04/03/2016
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Provider Practice Location Address
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Address Line | 1923 SENECA ST
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City | BUFFALO
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State | NY
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Zip | 14210-1852
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Country | US
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Telephone | 716-822-2225
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Fax | 716-822-7078
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Provider Business Mailing Address
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Address Line | 1923 SENECA ST
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City | BUFFALO
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State | NY
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Zip | 14210-1852
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Country | US
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Telephone | 716-822-2225
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Fax | 716-822-7078
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Authorized Official
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Title or Position | CHIROPRACTOR/PRACTICE MANAGER
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Name | DR. LISA M SOKOL
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Credential | DC
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Telephone | 716-822-2225
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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