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General NPI Number Information
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NPI Number | 1851758643
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Entity Type | Organization
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Legal Business Name | VILLAGE OF SPRINGVILLE
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Dates
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Enumeration Date | 01/25/2016
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Last Update Date | 01/25/2016
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Provider Practice Location Address
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Address Line | 5 W MAIN ST
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City | SPRINGVILLE
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State | NY
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Zip | 14141-1011
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Country | US
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Telephone | 716-592-4936
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Fax | 716-592-7088
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Provider Business Mailing Address
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Address Line | 21 OSWEGO ST PO BOX 535
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City | BALDWINSVILLE
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State | NY
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Zip | 13027-2503
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Country | US
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Telephone | 315-635-1789
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Fax | 315-635-3289
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Authorized Official
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Title or Position | VILLAGE ADMINISTRATOR
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Name | ELIZABETH C MELOCK
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Credential |
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Telephone | 716-592-4936
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3416L0300X
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Taxonomy Name | Land Ambulance
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License Number | 33084
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License Number State | NY
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