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General NPI Number Information
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NPI Number | 1568490647
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Entity Type | Organization
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Legal Business Name | BUFFALO HOSPITAL SUPPLY CO INC
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Dates
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Enumeration Date | 06/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4039 GENESEE ST
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City | BUFFALO
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State | NY
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Zip | 14225-1904
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Country | US
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Telephone | 716-626-9400
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Fax | 716-626-4307
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Provider Business Mailing Address
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Address Line | 4039 GENESEE ST
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City | BUFFALO
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State | NY
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Zip | 14225-1904
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Country | US
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Telephone | 716-626-9400
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Fax | 716-626-4307
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | STEPHEN J CORCORAN
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Credential |
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Telephone | 716-626-9400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State |
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