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General NPI Number Information
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NPI Number | 1265463715
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Entity Type | Organization
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Legal Business Name | RONALD PALAZZO, M.D., P.C.
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 3671 SOUTHWESTERN BLVD SUITE 109
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1752
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Country | US
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Telephone | 716-662-9045
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Fax | 716-662-9012
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Provider Business Mailing Address
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Address Line | 3671 SOUTHWESTERN BLVD SUITE 109
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1752
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Country | US
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Telephone | 716-662-9045
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Fax | 716-662-9012
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Authorized Official
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Title or Position | OWNER
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Name | DR. RONALD PALAZZO
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Credential | M.D
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Telephone | 716-662-9045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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