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General NPI Number Information
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NPI Number | 1760866586
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HEALTH HOME OF WESTERN NEW YORK (CHHWNY)
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 04/12/2018
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Provider Practice Location Address
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Address Line | 219 BRYANT ST
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City | BUFFALO
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State | NY
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Zip | 14222-2006
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Country | US
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Telephone | 716-878-7981
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Fax | 716-878-1892
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Provider Business Mailing Address
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Address Line | 219 BRYANT ST
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City | BUFFALO
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State | NY
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Zip | 14222-2006
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Country | US
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Telephone | 716-878-7981
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Fax | 716-878-1892
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. ALLEGRA JAROS
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Credential | MBA
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Telephone | 716-878-7551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number |
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License Number State |
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