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General NPI Number Information
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NPI Number | 1942545801
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Entity Type | Organization
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Legal Business Name | ERIE COUNTY MEDICAL CENTER
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 12/04/2012
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Provider Practice Location Address
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Address Line | 52 TANGLEWOOD DR W
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City | ORCHARD PARK
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State | NY
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Zip | 14127-3503
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Country | US
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Telephone | 716-662-3679
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Fax |
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Provider Business Mailing Address
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Address Line | 52 TANGLEWOOD DR W
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City | ORCHARD PARK
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State | NY
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Zip | 14127-3503
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Country | US
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Telephone | 716-662-3679
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Fax |
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Authorized Official
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Title or Position | SEIT
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Name | PATRICIA A MAGNER
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Credential | MASTERS EDUCATION
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Telephone | 716-662-3679
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State |
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