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General NPI Number Information
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NPI Number | 1992337166
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Entity Type | Individual
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Provider Name | SAMANTHA PAJAK DDS
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Gender | Female
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Dates
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Enumeration Date | 02/06/2020
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Last Update Date | 09/16/2021
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Provider Practice Location Address
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Address Line | 2177 UNION RD
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City | WEST SENECA
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State | NY
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Zip | 14224-1428
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Country | US
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Telephone | 716-668-4646
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Fax |
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Provider Business Mailing Address
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Address Line | 30 THORNAPPLE LN
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City | ORCHARD PARK
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State | NY
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Zip | 14127-4533
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 062010
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License Number State | NY
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