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General NPI Number Information
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NPI Number | 1629466099
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Entity Type | Organization
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Legal Business Name | PAUL T BIDDLE MD PLLC
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Dates
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Enumeration Date | 01/07/2015
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Last Update Date | 01/07/2015
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Provider Practice Location Address
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Address Line | 908 NIAGARA FALLS BLVD STE 208
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-2019
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Country | US
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Telephone | 716-649-1613
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Fax | 716-649-1506
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Provider Business Mailing Address
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Address Line | 200 STERLING DR SUITE 202
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1577
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Country | US
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Telephone | 716-649-1613
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Fax | 716-649-1506
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ELIZABETH GARD
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Credential |
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Telephone | 716-649-1613
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | 2276591
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License Number State |
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