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General NPI Number Information
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NPI Number | 1609960723
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Entity Type | Organization
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Legal Business Name | WESTERN NEW YORK ORTHOPAEDICS, PC
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 05/19/2022
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Provider Practice Location Address
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Address Line | 1275 DELAWARE AVE SUITE 110
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City | BUFFALO
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State | NY
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Zip | 14209-2412
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Country | US
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Telephone | 716-883-4201
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Fax |
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Provider Business Mailing Address
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Address Line | 1275 DELAWARE AVE SUITE 110
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City | BUFFALO
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State | NY
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Zip | 14209-2412
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DONALD J NENNO II
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Credential | M.D
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Telephone | 716-883-4201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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