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General NPI Number Information
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NPI Number | 1265774947
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Entity Type | Individual
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Provider Name | GEORGE ALBAIR SIFAIN D.M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 04/21/2015
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Provider Practice Location Address
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Address Line | 6161 TRANSIT RD SUITE #1
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City | EAST AMHERST
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State | NY
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Zip | 14051-2606
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Country | US
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Telephone | 716-688-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 6161 TRANSIT RD SUITE #1
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City | EAST AMHERST
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State | NY
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Zip | 14051-2606
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Country | US
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Telephone | 716-688-3000
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Fax |
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 057289
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License Number State | NY
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