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General NPI Number Information
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NPI Number | 1811966799
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Entity Type | Individual
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Provider Name | DONALD LARGO M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 1 COLOMBA DR STE 1
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City | NIAGARA FALLS
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State | NY
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Zip | 14305-1275
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Country | US
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Telephone | 716-282-8691
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Fax |
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Provider Business Mailing Address
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Address Line | 275 NORTHPOINTE PKWY STE 50
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City | AMHERST
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State | NY
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Zip | 14228-1895
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Country | US
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Telephone | 716-834-1191
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 158287
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License Number State | NY
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