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General NPI Number Information
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NPI Number | 1609044239
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Entity Type | Organization
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Legal Business Name | WILLIAM F BUFFONE
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Dates
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Enumeration Date | 02/17/2008
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Last Update Date | 10/25/2011
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Provider Practice Location Address
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Address Line | 359 OLD TOWN RD
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3449
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Country | US
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Telephone | 631-474-3338
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Fax | 631-403-4148
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Provider Business Mailing Address
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Address Line | 359 OLD TOWN RD
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City | EAST SETAUKET
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State | NY
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Zip | 11733-3449
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Country | US
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Telephone | 631-765-6777
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Fax | 631-765-6933
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Authorized Official
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Title or Position | OWNER
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Name | DR. WILLIAM F BUFFONE
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Credential | D.P.M.
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Telephone | 631-765-6777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N004443
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License Number State | NY
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