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General NPI Number Information
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NPI Number | 1215081823
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Entity Type | Organization
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Legal Business Name | MMS BUFFALO, INC
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Dates
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Enumeration Date | 01/22/2007
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Last Update Date | 01/26/2010
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Provider Practice Location Address
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Address Line | 12659 US HIGHWAY 27 N
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City | BERRY
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State | KY
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Zip | 41003-9022
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Country | US
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Telephone | 859-234-5333
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Fax | 859-234-9162
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Provider Business Mailing Address
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Address Line | 12659 US HIGHWAY 27 N
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City | BERRY
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State | KY
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Zip | 41003-9022
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Country | US
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Telephone | 859-234-5333
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Fax | 859-234-9162
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. DAVID G KAUDERER
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Credential |
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Telephone | 716-693-3747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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