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General NPI Number Information
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NPI Number | 1831446210
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Entity Type | Individual
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Provider Name | ELYSE M ROBINSON
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Gender | Female
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Dates
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Enumeration Date | 08/05/2012
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Last Update Date | 08/05/2012
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Provider Practice Location Address
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Address Line | 5205 OAKWOOD DR
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-9618
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Country | US
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Telephone | 716-625-4002
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Fax |
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Provider Business Mailing Address
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Address Line | 848 POTOMAC AVE UPPER
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City | BUFFALO
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State | NY
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Zip | 14209-1063
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Country | US
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Telephone | 716-984-0230
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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