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General NPI Number Information
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NPI Number | 1508898305
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Entity Type | Organization
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Legal Business Name | UNIVERSITY AT BUFFALO SURGEONS INC
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 10/29/2024
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Provider Practice Location Address
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Address Line | 462 GRIDER ST DK MILLER BLDG
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City | BUFFALO
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State | NY
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Zip | 14215-3021
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Country | US
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Telephone | 716-898-5186
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Fax | 716-898-5029
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Provider Business Mailing Address
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Address Line | PO BOX 8000 DEPT #313
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City | BUFFALO
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State | NY
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Zip | 14267-0002
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Country | US
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Telephone | 716-898-5227
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Fax | 716-898-5029
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | BENJAMIN LEWIS
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Credential |
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Telephone | 716-878-2481
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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