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General NPI Number Information
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NPI Number | 1104874817
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Entity Type | Organization
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Legal Business Name | WOMEN AND CHILDREN'S HOSPITAL OF BUFFALO
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 219 BRYANT ST EMERGENCY DEPARTMENT
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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 | 716-878-7330
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Fax |
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Provider Business Mailing Address
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Address Line | 1665 CRITTENDEN RD
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City | ALDEN
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State | NY
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Zip | 14004-1008
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Country | US
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Telephone | 716-878-7109
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | CHARENE MARY WOOD
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Credential | NP
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Telephone | 716-878-7109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 381419
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License Number State | NY
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