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NPI 1770546616

NPI 1770546616 : DAVID SLEPIAN BS : NIAGARA FALLS, NY

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General NPI Number Information
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    NPI Number           |    1770546616
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID SLEPIAN BS
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/11/2006
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    918 MICHIGAN AVE 
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    City                 |    NIAGARA FALLS
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    State                |    NY
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    Zip                  |    14305-2608
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    Country              |    US
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    Telephone            |    716-282-1292
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    Fax                  |    716-285-3723
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Provider Business Mailing Address
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    Address Line         |    93 GARDEN PKWY 
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    City                 |    GRAND ISLAND
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    State                |    NY
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    Zip                  |    14072-1107
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    Country              |    US
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    Telephone            |    716-773-2845
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    Fax                  |    716-774-3605
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    02716301
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    License Number State |    NY
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