{
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"EIN": null,
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"OrgName": "BUFFALO ANESTHESIA ASSOCIATES, P.C.",
"LastName": null,
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"NamePrefix": null,
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"FirstLineMailingAddress": "4511 HARLEM ROAD",
"SecondLineMailingAddress": "SUITE 3",
"MailingAddressCityName": "AMHERST",
"MailingAddressStateName": "NY",
"MailingAddressPostalCode": "14226-3822",
"MailingAddressCountryCode": "US",
"MailingAddressTelephoneNumber": "716-886-0444",
"MailingAddressFaxNumber": "716-885-7070",
"FirstLinePracticeLocationAddress": "3095 HARLEM RD",
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"PracticeLocationAddressCityName": "CHEEKTOWAGA",
"PracticeLocationAddressStateName": "NY",
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"PracticeLocationAddressCountryCode": "US",
"PracticeLocationAddressTelephoneNumber": "716-896-3815",
"PracticeLocationAddressFaxNumber": "716-896-3015",
"EnumerationDate": "06/23/2006",
"LastUpdateDate": "06/22/2017",
"NPIDeactivationReasonCode": null,
"NPIDeactivationReason": null,
"NPIDeactivationDate": null,
"NPIReactivationDate": null,
"GenderCode": null,
"Gender": null,
"AuthorizedOfficialLastName": "UMFREY",
"AuthorizedOfficialFirstName": "DAVID",
"AuthorizedOfficialMiddleName": "K",
"AuthorizedOfficialTitle": "SITE DIRECTOR",
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"AuthorizedOfficialCredential": "M.D.",
"AuthorizedOfficialTelephoneNumber": "716-886-0444",
"Taxonomies": {
"Taxonomy": {
"TaxonomyCode": "207L00000X",
"TaxonomyName": "Anesthesiology Physician",
"LicenseNumber": "02192",
"LicenseNumberStateCode": "NY",
"PrimaryTaxonomySwitch": "Y"
}
},
"HealthcareProviderTaxonomyGroups": {
"HealthcareProviderTaxonomyGroup": {
"HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY GROUP",
"HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
}
}
}
}