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General NPI Number Information
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NPI Number | 1730282997
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Entity Type | Organization
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Legal Business Name | BUFFALO RADIATION ONCOLOGY
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Dates
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Enumeration Date | 09/06/2006
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Last Update Date | 11/19/2010
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Provider Practice Location Address
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Address Line | C/O BUFFALO CANCER CENTER 495 INTERNATIONAL DRIVE
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221
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Country | US
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Telephone | 716-565-3999
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Fax | 716-565-3915
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Provider Business Mailing Address
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Address Line | C/O BUFFALO CANCER CENTER 495 INTERNATIONAL DRIVE
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221
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Country | US
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Telephone | 716-565-3999
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Fax | 716-565-3915
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. MONEER A KHALIL
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Credential | M.D.
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Telephone | 716-565-3999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 159170
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License Number State | NY
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