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General NPI Number Information
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NPI Number | 1164464921
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Entity Type | Organization
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Legal Business Name | MERCY HOSPITAL OF BUFFALO
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Dates
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Enumeration Date | 06/13/2006
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 565 ABBOTT RD
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City | BUFFALO
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State | NY
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Zip | 14220-2039
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Country | US
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Telephone | 716-826-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 565 ABBOTT RD
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City | BUFFALO
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State | NY
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Zip | 14220-2039
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Country | US
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Telephone | 716-826-7000
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Fax |
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | DAVID P MACHOLZ
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Credential |
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Telephone | 716-862-2430
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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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 | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 1401008H
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License Number State | NY
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