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General NPI Number Information
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NPI Number | 1922111236
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Entity Type | Individual
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Provider Name | THOMAS J NOTARO D.C.
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Gender | Male
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Dates
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Enumeration Date | 08/17/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 2283 GRAND ISLAND BLVD
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City | GRAND ISLAND
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State | NY
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Zip | 14072-1819
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Country | US
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Telephone | 716-773-2222
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Fax | 716-773-4265
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Provider Business Mailing Address
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Address Line | 7268 KATIE DR
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120
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Country | US
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Telephone | 716-990-3037
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X009041-3
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License Number State | NY
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