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General NPI Number Information
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NPI Number | 1093751505
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Entity Type | Organization
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Legal Business Name | ASSOCIATED PHYSICIANS OF WESTERN NEW YORK P.C.
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 06/18/2015
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Provider Practice Location Address
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Address Line | 1616 KENSINGTON AVE
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City | BUFFALO
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State | NY
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Zip | 14215-1433
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Country | US
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Telephone | 716-835-3097
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Fax | 716-837-4654
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Provider Business Mailing Address
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Address Line | 1616 KENSINGTON AVE
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City | BUFFALO
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State | NY
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Zip | 14215-1433
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Country | US
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Telephone | 716-835-3097
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Fax | 716-837-4654
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NADY R SHEHATA
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Credential | MD
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Telephone | 716-835-3097
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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