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General NPI Number Information
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NPI Number | 1235663212
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Entity Type | Organization
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Legal Business Name | BUFFALO NUTRITION & DIETETICS, PLLC
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 08/12/2025
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Provider Practice Location Address
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Address Line | 1990 WHITEHAVEN RD
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City | GRAND ISLAND
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State | NY
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Zip | 14072-1846
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Country | US
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Telephone | 716-704-0684
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Fax |
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Provider Business Mailing Address
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Address Line | 501 JOHN JAMES AUDUBON PKWY STE 360
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City | AMHERST
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State | NY
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Zip | 14228-1143
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Country | US
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Telephone | 716-704-0684
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Fax | 716-625-1236
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. TRICIA E SAUER
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Credential | RDN, CDN, LDN, IFNCP
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Telephone | 716-704-0684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 006660
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 133VN1006X
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Taxonomy Name | Metabolic Nutrition Registered Dietitian
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License Number | 006633-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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