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General NPI Number Information
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NPI Number | 1003002973
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Entity Type | Organization
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Legal Business Name | BUFFALO ORTHOPEDIC BRACE, INC.
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 6140 TRANSIT RD
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City | DEPEW
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State | NY
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Zip | 14043-1536
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Country | US
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Telephone | 716-681-1000
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Fax | 716-681-5999
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Provider Business Mailing Address
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Address Line | 6140 TRANSIT RD
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City | DEPEW
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State | NY
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Zip | 14043-1536
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Country | US
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Telephone | 716-681-1000
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Fax | 716-681-5999
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. PAUL B. SCAVONE
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Credential |
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Telephone | 716-631-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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