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General NPI Number Information
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NPI Number | 1750832630
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Entity Type | Organization
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Legal Business Name | DUNKIRK & FREDONIA MEALS ON WHEELS
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Dates
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Enumeration Date | 10/17/2016
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 196 NEWTON ST STE 5
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City | FREDONIA
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State | NY
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Zip | 14063-1332
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Country | US
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Telephone | 716-366-8222
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Fax | 716-366-9847
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Provider Business Mailing Address
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Address Line | 196 NEWTON ST STE 5
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City | FREDONIA
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State | NY
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Zip | 14063-1332
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Country | US
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Telephone | 716-366-8222
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Fax | 716-366-9847
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DEBRA ANN PACOS
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Credential |
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Telephone | 716-366-8822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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