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General NPI Number Information
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NPI Number | 1588152706
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Entity Type | Individual
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Provider Name | NATALIE CZUCZMAN PENN MD
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Gender | Female
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Dates
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Enumeration Date | 04/24/2018
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Last Update Date | 12/07/2025
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Provider Practice Location Address
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Address Line | 60 MAPLE RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2917
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Country | US
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Telephone | 716-626-5250
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Fax | 716-204-9743
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Provider Business Mailing Address
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Address Line | ELM AND CARLTON ST
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City | BUFFALO
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State | NY
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Zip | 14263-0001
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Country | US
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Telephone | 716-845-2300
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 30671801
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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