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General NPI Number Information
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NPI Number | 1518023613
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Entity Type | Organization
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Legal Business Name | PEDIATRIC CARDIOLOGY ASSOCIATES OF WNY, LLC
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Dates
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Enumeration Date | 12/31/2006
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 936 DELAWARE AVE SUITE 100
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City | BUFFALO
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State | NY
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Zip | 14209-1804
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Country | US
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Telephone | 716-389-3268
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Fax |
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Provider Business Mailing Address
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Address Line | 936 DELAWARE AVE SUITE 100
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City | BUFFALO
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State | NY
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Zip | 14209-1804
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Country | US
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Telephone | 716-389-3268
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Fax |
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | DEBORAH A CHAPMAN
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Credential |
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Telephone | 716-389-3268
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number |
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License Number State |
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