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General NPI Number Information
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NPI Number | 1780021188
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Entity Type | Organization
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Legal Business Name | ENDOSCOPY CENTER OF NIAGARA, LLC
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 6930 WILLIAMS RD STE 3010
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-3096
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Country | US
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Telephone | 716-284-3264
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Fax | 716-205-8004
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Provider Business Mailing Address
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Address Line | 6930 WILLIAMS RD STE 3010
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-3096
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Country | US
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Telephone |
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Fax | 716-205-8004
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | PAT GRAHAM
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Credential |
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Telephone | 716-332-1000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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