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General NPI Number Information
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NPI Number | 1992143721
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Entity Type | Organization
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Legal Business Name | MOTRANCO GROUP INC
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Dates
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Enumeration Date | 06/14/2013
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Last Update Date | 09/17/2013
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Provider Practice Location Address
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Address Line | 5965 TRANSIT RD
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City | EAST AMHERST
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State | NY
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Zip | 14051-1874
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Country | US
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Telephone | 716-362-1094
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Fax | 716-639-4804
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Provider Business Mailing Address
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Address Line | 644 ELLICOTT ST SUITE 104
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City | BUFFALO
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State | NY
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Zip | 14203-1221
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Country | US
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Telephone | 716-247-5300
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Fax | 716-681-1205
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Authorized Official
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Title or Position | PRESIDENT
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Name | DEAN TRZEWIECZYNSKI
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Credential | RPH
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Telephone | 716-725-7329
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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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 | 3336C0004X
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Taxonomy Name | Compounding Pharmacy
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 031981
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License Number State | NY
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