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General NPI Number Information
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NPI Number | 1356553416
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Entity Type | Individual
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Provider Name | ROBERT TYRUS MCLANAHAN D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 ONTARIO ST
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City | BUFFALO
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State | NY
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Zip | 14207-1545
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Country | US
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Telephone | 716-876-1233
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Fax | 716-876-1234
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Provider Business Mailing Address
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Address Line | 9 FORESTGLEN CIR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-1360
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Country | US
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Telephone | 716-631-5141
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Fax | 716-876-1234
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 30418
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License Number State | NY
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