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General NPI Number Information
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NPI Number | 1609760818
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Entity Type | Individual
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Provider Name | SANTO BUCOLO III
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Gender | Male
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 291 ELM ST
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City | BUFFALO
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State | NY
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Zip | 14203-1621
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Country | US
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Telephone | 716-854-2444
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Fax |
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Provider Business Mailing Address
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Address Line | 721 ELMWOOD AVE APT 2
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City | BUFFALO
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State | NY
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Zip | 14222-1669
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Country | US
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Telephone | 845-750-5326
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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