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General NPI Number Information
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NPI Number | 1508824608
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Entity Type | Individual
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Provider Name | LARRY H WILF M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 07/21/2025
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Provider Practice Location Address
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Address Line | ELM AND CARLTON ST
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City | BUFFALO
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State | NY
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Zip | 14263-2989
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Country | US
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Telephone | 904-200-2409
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Fax |
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Provider Business Mailing Address
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Address Line | ELM AND CARLTON ST
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City | BUFFALO
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State | NY
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Zip | 14263-2222
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Country | US
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Telephone | 716-845-2300
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Fax |
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | ME50946
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME50946
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number | ME50946
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License Number State | FL
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