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NPI 1104942267

NPI 1104942267 : DAVID K SPEIER : BUFFALO, NY

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General NPI Number Information
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    NPI Number           |    1104942267
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    Entity Type          |    Individual 
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    Provider Name        |    DAVID K SPEIER
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    03/21/2007
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    Last Update Date     |    03/07/2023
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Provider Practice Location Address
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    Address Line         |    1770 COLVIN BLVD 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14223-1108
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    Country              |    US
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    Telephone            |    716-876-2323
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    7306 WINBERT DR 
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    City                 |    NORTH TONAWANDA
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    State                |    NY
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    Zip                  |    14120-4905
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    Country              |    US
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    Telephone            |    716-743-1535
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    Fax                  |    
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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        |    183500000X
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    Taxonomy Name        |    Pharmacist
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    License Number       |    036244
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    License Number State |    NY
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