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General NPI Number Information
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NPI Number | 1740573559
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Entity Type | Individual
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Provider Name | ANDREA MICHELE COSTELLO SCHILLING DAOM,LA.C
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Gender | Female
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Dates
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Enumeration Date | 05/26/2011
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 2821 WEHRLE DR STE 9
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7386
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Country | US
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Telephone | 716-984-5575
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Fax | 716-633-0600
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Provider Business Mailing Address
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Address Line | 2821 WEHRLE DR STE 9
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7386
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Country | US
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Telephone | 716-984-5575
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Fax | 716-633-0600
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 008828-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 25004571
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License Number State | NY
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