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General NPI Number Information
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NPI Number | 1265486690
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Entity Type | Individual
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Provider Name | VINCENT JOHN BUFALINO MD
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Gender | Male
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Dates
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Enumeration Date | 05/20/2006
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Last Update Date | 04/18/2016
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Provider Practice Location Address
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Address Line | 801 S WASHINGTON ST 4TH FLOOR
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City | NAPERVILLE
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State | IL
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Zip | 60540-7430
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Country | US
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Telephone | 630-527-2730
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Fax |
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Provider Business Mailing Address
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Address Line | 1919 S HIGHLAND AVE SUITE B202 ATTN JAN LEWIS
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City | LOMBARD
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State | IL
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Zip | 60148-6153
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Country | US
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Telephone | 630-268-1102
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Fax | 630-268-1125
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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 | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036057370
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License Number State | IL
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