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General NPI Number Information
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NPI Number | 1679702757
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Entity Type | Individual
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Provider Name | PATRICK G MACDIARMID JR. P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 07/09/2009
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Provider Practice Location Address
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Address Line | 100 HIGH ST # C368
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City | BUFFALO
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State | NY
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Zip | 14203-1126
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Country | US
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Telephone | 716-859-2247
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Fax | 716-859-2885
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Provider Business Mailing Address
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Address Line | 100 HIGH ST # C368
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City | BUFFALO
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State | NY
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Zip | 14203-1126
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Country | US
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Telephone | 716-859-2247
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Fax | 716-859-2885
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0132951
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License Number State | NY
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