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General NPI Number Information
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NPI Number | 1033761077
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Entity Type | Organization
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Legal Business Name | NICEFORO AND BRAUN DDS, P.C.
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Dates
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Enumeration Date | 07/10/2019
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Last Update Date | 07/10/2019
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Provider Practice Location Address
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Address Line | 285 MAIN ST
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City | EAST AURORA
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State | NY
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Zip | 14052-1636
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Country | US
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Telephone | 716-652-1020
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Fax |
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Provider Business Mailing Address
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Address Line | 285 MAIN ST
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City | EAST AURORA
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State | NY
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Zip | 14052-1636
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Country | US
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Telephone | 716-652-1020
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Fax | 716-652-1020
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | BETH PALMER
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Credential |
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Telephone | 716-652-1020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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