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General NPI Number Information
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NPI Number | 1619914355
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Entity Type | Individual
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Provider Name | QUENTIN G EICHBAUM M.D. PHD, MPH, MMED,
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Gender | Male
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | ELM AND CARLTON ST STE 5075TH
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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 | 716-845-8622
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Fax |
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Provider Business Mailing Address
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Address Line | ELM AND CARLTON ST STE 5075TH
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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 | 716-845-8622
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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 | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 339205
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | MD46916
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207ZB0001X
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Taxonomy Name | Blood Banking & Transfusion Medicine Physician
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License Number | 226122
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License Number State | MA
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Taxonomy #4
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Taxonomy Code | 207ZP0102X
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Taxonomy Name | Anatomic Pathology & Clinical Pathology Physician
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License Number | MD46916
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License Number State | TN
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