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General NPI Number Information
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NPI Number | 1992161582
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Entity Type | Organization
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Legal Business Name | RHEUMATOLOGY WELLNESS CARE OF WNY, PLLC
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Dates
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Enumeration Date | 01/12/2016
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 20 LOSSON RD SUITE 100
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City | CHEEKTOWAGA
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State | NY
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Zip | 14227-2394
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Country | US
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Telephone | 716-898-0755
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Fax | 716-898-0775
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Provider Business Mailing Address
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Address Line | 20 LOSSON RD SUITE 100
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City | CHEEKTOWAGA
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State | NY
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Zip | 14227-2394
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Country | US
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Telephone | 716-898-0755
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Fax | 716-898-0775
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARY MARGARET O'NEIL
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Credential | MD
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Telephone | 716-898-0755
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | A188049-1
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License Number State | NY
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