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General NPI Number Information
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NPI Number | 1922055441
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Entity Type | Organization
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Legal Business Name | SOUTHTOWNS INTERVENTIONAL ASSOCIATES
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Dates
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Enumeration Date | 05/29/2006
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Last Update Date | 10/29/2007
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Provider Practice Location Address
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Address Line | 565 ABBOTT RD
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City | BUFFALO
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State | NY
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Zip | 14220-2039
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Country | US
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Telephone | 716-828-2399
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Fax |
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Provider Business Mailing Address
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Address Line | 3040 AMSDELL RD
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City | HAMBURG
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State | NY
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Zip | 14075-5835
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MARY L TURKIEWICZ
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Credential | MD
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Telephone | 716-828-2399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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