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General NPI Number Information
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NPI Number | 1487867727
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Entity Type | Organization
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Legal Business Name | HAMBURG PEDIATRICS, P.C.
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Dates
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Enumeration Date | 05/07/2007
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Last Update Date | 09/11/2008
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Provider Practice Location Address
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Address Line | 4390 QUINBY DR STE E
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City | HAMBURG
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State | NY
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Zip | 14075-7900
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Country | US
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Telephone | 716-312-7400
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Fax | 716-312-7402
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Provider Business Mailing Address
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Address Line | 4390 QUINBY DR STE E
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City | HAMBURG
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State | NY
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Zip | 14075-7900
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Country | US
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Telephone | 716-312-7400
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Fax | 716-312-7402
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN J KRZAN JR.
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Credential | MD
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Telephone | 716-312-7400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080A0000X
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Taxonomy Name | Pediatric Adolescent Medicine Physician
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License Number | 171487
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License Number State | NY
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