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General NPI Number Information
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NPI Number | 1902025513
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Entity Type | Organization
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Legal Business Name | ABBOTT ANESTHESIOLOGIST ASSOCIATES PC
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Dates
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Enumeration Date | 04/24/2007
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Last Update Date | 08/23/2018
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Provider Practice Location Address
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Address Line | 565 ABBOTT RD
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City | BUFFALO
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State | NY
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Zip | 14220-2039
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Country | US
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Telephone | 716-826-6628
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Fax | 716-828-3448
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Provider Business Mailing Address
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Address Line | 515 ABBOTT RD SUITE 410
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City | BUFFALO
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State | NY
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Zip | 14220-1700
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Country | US
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Telephone | 716-826-6628
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Fax | 716-828-3448
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. PAT JARMUZ
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Credential |
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Telephone | 716-826-6628
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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