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General NPI Number Information
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NPI Number | 1780246777
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Entity Type | Organization
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Legal Business Name | WNY MEDICAL PC - CARE MANAGEMENT
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Dates
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Enumeration Date | 07/01/2019
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 4979 HARLEM RD
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City | AMHERST
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State | NY
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Zip | 14226-2547
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Country | US
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Telephone | 716-923-4380
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Fax |
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Provider Business Mailing Address
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Address Line | 5792 MAIN ST
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5702
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Country | US
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Telephone | 716-923-4380
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RIFFAT SADIQ
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Credential | MD
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Telephone | 716-923-4380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WC0400X
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Taxonomy Name | Case Management Registered Nurse
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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