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General NPI Number Information
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NPI Number | 1659647774
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Entity Type | Organization
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Legal Business Name | HISPANIC UNITED OF BUFFALO, INC.
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Dates
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Enumeration Date | 03/23/2012
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Last Update Date | 03/23/2012
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Provider Practice Location Address
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Address Line | 254 VIRGINIA ST
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City | BUFFALO
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State | NY
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Zip | 14201-1938
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Country | US
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Telephone | 716-856-7110
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Fax | 716-856-9617
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Provider Business Mailing Address
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Address Line | 254 VIRGINIA ST
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City | BUFFALO
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State | NY
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Zip | 14201-1938
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Country | US
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Telephone | 716-856-7110
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Fax | 716-856-9617
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. LOURDES TERESA IGLESIAS
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Credential |
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Telephone | 716-856-7110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 347B00000X
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Taxonomy Name | Bus
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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