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General NPI Number Information
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NPI Number | 1811811060
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Entity Type | Organization
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Legal Business Name | SCARDINO INDEPENDENT SERVICE COORDINATION LLC
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Dates
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Enumeration Date | 08/08/2026
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Last Update Date | 08/08/2026
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Provider Practice Location Address
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Address Line | 16 PATRICIA DR
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City | TONAWANDA
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State | NY
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Zip | 14150-4617
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Country | US
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Telephone | 716-863-9968
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Fax | 716-409-4344
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Provider Business Mailing Address
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Address Line | PO BOX 1320
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City | BUFFALO
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State | NY
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Zip | 14226-7320
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Country | US
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Telephone | 716-863-9968
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Fax | 716-409-4344
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Authorized Official
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Title or Position | PRESIDENT/CEO/SERVICE COORDINATOR
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Name | WARD SCARDINO GODZIK
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Credential |
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Telephone | 716-863-9968
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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