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General NPI Number Information
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NPI Number | 1881644185
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Entity Type | Organization
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Legal Business Name | IDA CAMPAGNA M.D.
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 100 COLLEGE PKWY SUITE 120
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6800
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Country | US
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Telephone | 716-839-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 100 COLLEGE PKWY SUITE 120
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6800
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Country | US
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Telephone | 716-839-1002
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | IDA CAMPAGNA
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Credential | M.D.
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Telephone | 716-839-1002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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