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General NPI Number Information
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NPI Number | 1104956358
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Entity Type | Organization
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Legal Business Name | KALEIDA HEALTH
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 445 TREMONT ST
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120
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Country | US
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Telephone | 719-694-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 726 EXCHANGE ST STE 300
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City | BUFFALO
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State | NY
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Zip | 14210-1467
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Country | US
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Telephone | 716-859-8396
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Fax |
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Authorized Official
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Title or Position | AR MANAGER
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Name | ANGELA H MCCROREY
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Credential |
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Telephone | 716-859-8313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | NY
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