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General NPI Number Information
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NPI Number | 1578794236
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Entity Type | Individual
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Provider Name | DR. CHARLES PETER BARONE JR.
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Gender | Male
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Dates
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Enumeration Date | 07/29/2009
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Last Update Date | 03/10/2017
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Provider Practice Location Address
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Address Line | 2446 ELMWOOD AVE
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City | KENMORE
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State | NY
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Zip | 14217-2244
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Country | US
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Telephone | 716-873-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 E RIVER RD
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City | GRAND ISLAND
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State | NY
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Zip | 14072-2105
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Country | US
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Telephone | 716-773-1416
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 048182
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License Number State | NY
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