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General NPI Number Information
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NPI Number | 1366488769
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Entity Type | Individual
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Provider Name | SALEELA SURESH MD
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 565 ABBOTT RD
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City | BUFFALO
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State | NY
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Zip | 14220-2039
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Country | US
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Telephone | 716-821-4450
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3024
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City | BUFFALO
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State | NY
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Zip | 14240-3024
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Country | US
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Telephone | 716-773-5892
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Fax | 716-773-5892
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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 | 225400000X
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Taxonomy Name | Rehabilitation Practitioner
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License Number | 1395521
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License Number State | NY
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