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General NPI Number Information
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NPI Number | 1730392564
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Entity Type | Organization
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Legal Business Name | PETER ACCETTA, M.D.
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 08/28/2023
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Provider Practice Location Address
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Address Line | 3065 SOUTHWESTERN BLVD
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1239
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Country | US
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Telephone | 716-675-7000
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Fax | 716-675-7004
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Provider Business Mailing Address
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Address Line | 3045 SOUTHWESTERN BLVD STE 104
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1209
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Country | US
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Telephone | 716-675-7000
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Fax | 716-674-4659
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Authorized Official
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Title or Position | SOLE PROPRITOR
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Name | DR. PETER ACCETTA
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Credential | M.D.
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Telephone | 716-675-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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