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General NPI Number Information
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NPI Number | 1912208125
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Entity Type | Organization
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Legal Business Name | PAUL J. WOPPERER MD PC
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/04/2010
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Provider Practice Location Address
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Address Line | 5214 MAIN STREET SUITE 100
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5373
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Country | US
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Telephone | 716-565-3620
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Fax | 716-565-3624
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Provider Business Mailing Address
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Address Line | 5214 MAIN STREET SUITE 100
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5373
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Country | US
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Telephone | 716-565-3620
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Fax | 716-565-3624
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MR. PAUL JAMES WOPPERER
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Credential | M.D.
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Telephone | 716-565-3620
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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 | 145086-1
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License Number State | NY
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