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General NPI Number Information
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NPI Number | 1225280217
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Entity Type | Organization
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Legal Business Name | VIVIAN L. LINDFIELD, MD, PC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 180 PARK CLUB LANE, SUITE 100
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5258
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Country | US
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Telephone | 716-632-7465
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Fax | 716-632-7464
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Provider Business Mailing Address
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Address Line | 180 PARK CLUB LANE, SUITE 100
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5258
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Country | US
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Telephone | 716-632-7465
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Fax | 716-632-7464
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Authorized Official
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Title or Position | FOUNDER, CEO
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Name | VIVIAN L. LINDFIELD
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Credential | M.D.
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Telephone | 716-632-7465
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 253905
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License Number State | NY
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