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General NPI Number Information
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NPI Number | 1255785440
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Entity Type | Individual
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Provider Name | CHARLIE GENE BUFFIE M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 03/22/2023
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Provider Practice Location Address
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Address Line | 1283 YORK AVENUE 9TH FLOOR
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City | NEW YORK
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State | NY
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Zip | 10065
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Country | US
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Telephone | 212-746-9663
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Fax | 212-746-3609
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Provider Business Mailing Address
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Address Line | 505 EAST 70TH STREET
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City | NEW YORK
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State | NY
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Zip | 10021
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Country | US
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Telephone | 212-746-9663
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Fax | 212-746-3609
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 306275
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License Number State | NY
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