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General NPI Number Information
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NPI Number | 1275727828
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Entity Type | Organization
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Legal Business Name | CHILDREN'S E.N.T., P.C.
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Dates
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Enumeration Date | 08/28/2007
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Last Update Date | 08/25/2009
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Provider Practice Location Address
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Address Line | 8207 MAIN STREET STE 5
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221
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Country | US
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Telephone | 716-362-9730
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Fax | 716-213-0348
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Provider Business Mailing Address
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Address Line | 908 NIAGARA FALLS BLVD STE 208
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City | N TONAWANDA
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State | NY
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Zip | 14120-2019
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Country | US
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Telephone | 716-692-2160
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Fax | 716-332-3658
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL PAUL PIZZUTO
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Credential | MD
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Telephone | 716-632-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YP0228X
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Taxonomy Name | Pediatric Otolaryngology Physician
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License Number | 168257
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 168257
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License Number State | NY
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