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General NPI Number Information
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NPI Number | 1861654980
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Entity Type | Individual
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Provider Name | SAMAN BAHRAM CHUBINEH MD
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Gender | Male
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Dates
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Enumeration Date | 06/30/2008
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Last Update Date | 04/16/2023
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Provider Practice Location Address
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Address Line | 6631 MAIN ST STE 2
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5934
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Country | US
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Telephone | 716-240-2296
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Fax | 716-462-6000
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Provider Business Mailing Address
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Address Line | 6044 WEXFORD MNR
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City | CLARENCE CENTER
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State | NY
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Zip | 14032-9435
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Country | US
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Telephone | 917-309-9030
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Fax | 716-462-6000
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 251164-1
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License Number State | NY
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