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General NPI Number Information
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NPI Number | 1407834872
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Entity Type | Organization
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Legal Business Name | BUFFALO CARDIOLOGY & PULMONARY ASSOC PC
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 11/19/2009
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Provider Practice Location Address
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Address Line | 6460 MAIN ST BUFFALO CARDIOLOGY & PULMANARY ASSOC PC
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5838
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Country | US
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Telephone | 716-634-5100
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Fax | 716-565-6680
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Provider Business Mailing Address
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Address Line | 6460 MAIN ST
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5838
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Country | US
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Telephone | 716-634-5100
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Fax | 716-565-6680
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Authorized Official
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Title or Position | PRESIDENT BUFFALO CARDIOLOGY & PULM
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Name | ROBERT P GATEWOOD JR.
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Credential | MD
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Telephone | 716-634-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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