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General NPI Number Information
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NPI Number | 1700076072
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Entity Type | Organization
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Legal Business Name | KALEIDA HEALTH BUFFALO GENERAL HOSPITAL
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Dates
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Enumeration Date | 08/01/2007
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Last Update Date | 08/01/2007
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Provider Practice Location Address
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Address Line | 100 HIGH ST
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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 | 716-859-2260
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Fax |
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Provider Business Mailing Address
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Address Line | 232 68TH ST
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-3916
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Country | US
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Telephone | 716-283-2701
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Fax |
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Authorized Official
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Title or Position | ADULT NURSE PRACTITIONER
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Name | MR. SEAN PATRICK HAILEY
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Credential | ANP-C
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Telephone | 716-859-2260
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | F304619-1
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License Number State | NY
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