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General NPI Number Information
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NPI Number | 1962622118
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Entity Type | Organization
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Legal Business Name | COMMUNITY MISSIONS OF NIAGARA FRONTIER, INC.
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 08/09/2017
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Provider Practice Location Address
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Address Line | 1570 BUFFALO AVE
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City | NIAGARA FALLS
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State | NY
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Zip | 14303-1516
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Country | US
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Telephone | 716-285-3403
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Fax |
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Provider Business Mailing Address
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Address Line | 1570 BUFFALO AVENUE
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City | NIAGARA FALLS
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State | NY
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Zip | 14303-1516
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Country | US
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Telephone | 716-285-3403
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Fax | 716-285-0616
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Authorized Official
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Title or Position | FINANCE MANAGER
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Name | MS. NATHALENE MOSLEY
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Credential |
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Telephone | 716-285-3403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | NY
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