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General NPI Number Information
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NPI Number | 1659360766
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Entity Type | Individual
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Provider Name | ROBERT A GIANADDA D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 10/20/2005
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 125 LAWRENCE BELL DR SUITE 102
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-7817
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Country | US
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Telephone | 716-854-5543
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Fax | 716-854-5545
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Provider Business Mailing Address
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Address Line | 107 DELAWARE AVE MEZZANINE LEVEL, STATLER TOWERS
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City | BUFFALO
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State | NY
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Zip | 14202-2810
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Country | US
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Telephone | 716-854-5543
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Fax | 716-854-5545
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 028528
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License Number State | NY
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