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General NPI Number Information
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NPI Number | 1023066388
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Entity Type | Individual
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Provider Name | NATHALIE BOUSADER-ARMSTRONG M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 09/27/2023
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Provider Practice Location Address
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Address Line | 273 DIVISION ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-4631
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Country | US
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Telephone | 716-725-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 273 DIVISION ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-4631
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Country | US
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Telephone | 716-725-9000
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 220944
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License Number State | NY
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