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General NPI Number Information
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NPI Number | 1851829808
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Entity Type | Individual
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Provider Name | HALLEY ANNE BIERSBACH PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/02/2017
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Last Update Date | 02/05/2025
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Provider Practice Location Address
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Address Line | 3900 N BUFFALO ST
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1842
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Country | US
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Telephone | 716-656-4852
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Fax | 716-817-1779
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Provider Business Mailing Address
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Address Line | 462 GRIDER STREET
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City | BUFFALO
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State | NY
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Zip | 14215
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Country | US
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Telephone | 716-630-1219
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Fax | 716-817-1726
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 020860
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 020860-01
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License Number State | NY
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