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NPI 1710835715

NPI 1710835715 : FRESHFIX : BUFFALO, NY

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General NPI Number Information
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    NPI Number           |    1710835715
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRESHFIX 
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Dates
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    Enumeration Date     |    03/17/2026
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    Last Update Date     |    03/17/2026
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Provider Practice Location Address
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    Address Line         |    229 W GENESEE ST UNIT 105 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14201-7005
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    Country              |    US
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    Telephone            |    716-961-2590
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    229 W GENESEE ST UNIT 105 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14201-7005
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    EXECUTIVE DIRECTOR
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    Name                 |     KRISTIE  CHAMBERLAIN 
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    Credential           |    
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    Telephone            |    716-961-2590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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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        |    133V00000X
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    Taxonomy Name        |    Registered Dietitian
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    332U00000X
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    Taxonomy Name        |    Home Delivered Meals
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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