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General NPI Number Information
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NPI Number | 1033292453
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Entity Type | Individual
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Provider Name | SUSAN SESTINI BAKER MD
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Gender | Female
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Dates
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Enumeration Date | 10/21/2006
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Last Update Date | 09/26/2008
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Provider Practice Location Address
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Address Line | 219 BRYANT ST
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City | BUFFALO
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State | NY
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Zip | 14222-2006
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Country | US
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Telephone | 716-878-7793
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Fax | 716-888-3842
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Provider Business Mailing Address
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Address Line | 4511 HARLEM RD SUITE 202
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City | AMHERST
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State | NY
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Zip | 14226-3803
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Country | US
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Telephone | 716-839-6720
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Fax | 716-839-6740
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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 | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number | 1172251
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License Number State | NY
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