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General NPI Number Information
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NPI Number | 1548684251
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Entity Type | Organization
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Legal Business Name | WNY PEDIATRIC GASTROENTEROLOGY, PLLC
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Dates
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Enumeration Date | 02/17/2014
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Last Update Date | 02/17/2014
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Provider Practice Location Address
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Address Line | 166 WASHINGTON AVE
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City | BATAVIA
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State | NY
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Zip | 14020-2113
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Country | US
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Telephone | 585-345-4250
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Fax |
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Provider Business Mailing Address
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Address Line | 166 WASHINGTON AVE
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City | BATAVIA
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State | NY
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Zip | 14020-2113
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Country | US
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Telephone | 585-345-4250
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. HUMAIRA HASHMI
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Credential | M.D.
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Telephone | 716-833-2994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2080P0206X
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Taxonomy Name | Pediatric Gastroenterology Physician
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License Number |
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License Number State |
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