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General NPI Number Information
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NPI Number | 1588155261
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Entity Type | Organization
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Legal Business Name | NIAGARA MEDICAL SERVICES, P.C.
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 12/12/2024
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Provider Practice Location Address
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Address Line | 621 10TH ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1813
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Country | US
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Telephone | 716-278-4000
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Fax | 716-651-9875
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Provider Business Mailing Address
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Address Line | 621 10TH ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14301-1813
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Country | US
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Telephone | 716-206-1501
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Fax | 716-651-9855
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | VIJAY BOJEDLA
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Credential | M.D.
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Telephone | 716-278-4000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207QH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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