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General NPI Number Information
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NPI Number | 1366968976
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Entity Type | Organization
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Legal Business Name | LIF DENTAL BUFFALO PLLC
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Dates
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Enumeration Date | 08/15/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 2000 EGGERT RD
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City | AMHERST
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State | NY
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Zip | 14226-2139
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Country | US
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Telephone | 716-838-3838
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Fax | 716-838-3838
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Provider Business Mailing Address
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Address Line | 235 AERO DR
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City | BUFFALO
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State | NY
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Zip | 14225-1429
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Country | US
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Telephone | 716-838-3838
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Fax | 716-839-8004
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Authorized Official
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Title or Position | DENTIST
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Name | DR. HURON O HILL II
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Credential | DDS
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Telephone | 716-838-3838
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 058433
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 043499
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 044659
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 057325
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License Number State | NY
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Taxonomy #5
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Taxonomy Code | 261QD0000X
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Taxonomy Name | Dental Clinic/Center
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License Number | 035833
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License Number State | NY
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