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General NPI Number Information
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NPI Number | 1699753053
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Entity Type | Organization
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Legal Business Name | WHEATFIELD PEDIATRICS, LLP
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Dates
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Enumeration Date | 01/05/2006
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 2890 NIAGARA FALLS BLVD
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-1114
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Country | US
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Telephone | 716-807-7337
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Fax | 716-807-0848
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Provider Business Mailing Address
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Address Line | 2890 NIAGARA FALLS BLVD
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City | NORTH TONAWANDA
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State | NY
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Zip | 14120-1114
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Country | US
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Telephone | 716-807-7337
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Fax | 716-807-0848
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. SARA B. DEVANTIER
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Credential |
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Telephone | 716-807-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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