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General NPI Number Information
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NPI Number | 1700924875
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Entity Type | Individual
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Provider Name | MS. BEVERLY PATRICIA BAGLIO
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Gender | Female
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Dates
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Enumeration Date | 02/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2800 SWEETHOME RD # 8
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City | AMHERST
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State | NY
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Zip | 14228
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Country | US
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Telephone | 716-479-5304
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Fax |
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Provider Business Mailing Address
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Address Line | 946 UNDERHILL RD
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City | E AURORA
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State | NY
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Zip | 14052
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Country | US
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Telephone | 716-687-1198
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Fax | 716-687-1198
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | PR0233091
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License Number State | NY
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