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General NPI Number Information
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NPI Number | 1811076433
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Entity Type | Individual
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Provider Name | AGNES G PATAKI MD
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Gender | Female
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Dates
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Enumeration Date | 11/03/2006
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Last Update Date | 12/18/2008
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Provider Practice Location Address
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Address Line | 462 GRIDER ST
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-898-3000
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Fax |
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Provider Business Mailing Address
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Address Line | BATHORI LASZLO 10
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City | BUDAPEST
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State | HUNGARY
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Zip | 1029
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Country | HU
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Telephone | 003612757057
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Fax | 003613916229
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 201952
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License Number State | NY
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