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General NPI Number Information
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NPI Number | 1922038603
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Entity Type | Organization
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Legal Business Name | REPICCI AND ROMANOWSKI MD LLC
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Dates
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Enumeration Date | 07/05/2006
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Last Update Date | 02/26/2013
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Provider Practice Location Address
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Address Line | 4510 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14226-3800
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Country | US
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Telephone | 716-839-0632
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Fax | 716-839-2012
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Provider Business Mailing Address
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Address Line | 4510 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14226-3800
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Country | US
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Telephone | 716-839-0632
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Fax | 716-839-2012
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL
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Name | DR. JOHN A REPICCI
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Credential | MD
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Telephone | 716-839-0632
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number |
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License Number State |
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