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General NPI Number Information
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NPI Number | 1194255505
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Entity Type | Individual
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Provider Name | KURTIS MATTHEW DOWNEY PA-C
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Gender | Male
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Dates
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Enumeration Date | 06/18/2017
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Last Update Date | 06/18/2017
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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 | 716-828-2085
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Fax | 716-828-3472
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Provider Business Mailing Address
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Address Line | 7898 LOWER EAST HILL RD
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City | COLDEN
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State | NY
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Zip | 14033-9758
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Country | US
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Telephone | 716-512-8303
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Fax | 716-941-5456
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 020863
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License Number State | NY
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