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General NPI Number Information
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NPI Number | 1922279660
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Entity Type | Individual
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Provider Name | REBECCA E PRATT MD
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Gender | Female
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 07/06/2023
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Provider Practice Location Address
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Address Line | 936 DELAWARE AVE STE 100
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City | BUFFALO
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State | NY
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Zip | 14209-1861
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Country | US
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Telephone | 716-885-5437
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Fax | 716-885-7317
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Provider Business Mailing Address
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Address Line | 936 DELAWARE AVE STE 100
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City | BUFFALO
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State | NY
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Zip | 14209-1861
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Country | US
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Telephone | 716-885-5437
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Fax | 716-885-7317
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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 | 2080P0202X
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Taxonomy Name | Pediatric Cardiology Physician
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License Number | 261563
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 60 261563
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License Number State | NY
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