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General NPI Number Information
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NPI Number | 1073558557
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Entity Type | Individual
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Provider Name | PAUL THOMAS BIDDLE MD
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Gender | Male
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Dates
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Enumeration Date | 06/18/2006
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Last Update Date | 11/19/2014
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Provider Practice Location Address
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Address Line | 200 STERLING DR SUITE 202
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1577
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Country | US
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Telephone | 716-649-1613
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Fax | 716-649-1506
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Provider Business Mailing Address
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Address Line | 200 STERLING DR SUITE 202
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1577
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Country | US
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Telephone | 716-649-1613
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Fax | 716-649-1506
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 227659-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 227659-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 227659
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License Number State | NY
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