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General NPI Number Information
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NPI Number | 1063517787
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Entity Type | Individual
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Provider Name | RICHARD P. MANIACE P.N.P.
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Gender | Male
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Dates
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Enumeration Date | 09/14/2006
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 2924 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14214-1720
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Country | US
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Telephone | 716-837-0995
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Fax | 716-837-1203
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Provider Business Mailing Address
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Address Line | 8205 MAIN ST STE 10
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-6054
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Country | US
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Telephone | 716-539-0789
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Fax | 716-250-9090
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F381303
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License Number State | NY
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