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General NPI Number Information
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NPI Number | 1124432489
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Entity Type | Organization
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Legal Business Name | HISPANOS UNIDOS DE BUFFALO
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Dates
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Enumeration Date | 06/16/2014
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Last Update Date | 04/19/2016
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Provider Practice Location Address
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Address Line | 254 VIRGINIA ST
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City | BUFFALO
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State | NY
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Zip | 14201-1938
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Country | US
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Telephone | 716-856-7110
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Fax |
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Provider Business Mailing Address
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Address Line | 1776 CLAY AVE
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City | BRONX
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State | NY
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Zip | 10457-7239
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Country | US
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Telephone | 347-649-3083
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | TOMAS DEL RIO
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Credential |
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Telephone | 347-649-3083
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State | NY
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