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General NPI Number Information
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NPI Number | 1679135297
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Entity Type | Individual
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Provider Name | ANNA CHRISTINE MCGORRY PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 2355 UNION RD
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City | CHEEKTOWAGA
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State | NY
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Zip | 14227-2234
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Country | US
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Telephone | 716-898-0755
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Fax |
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Provider Business Mailing Address
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Address Line | 271 ARGONNE DR
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City | KENMORE
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State | NY
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Zip | 14217-2433
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Country | US
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Telephone | 716-207-4366
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Fax |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 023578
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License Number State | NY
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