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NPI 1952230286

NPI 1952230286 : BUFFALO CENTER MEDICAL AND SPECIALTY SERVICES PLLC : BUFFALO CENTER, IA

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General NPI Number Information
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    NPI Number           |    1952230286
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    Entity Type          |    Organization 
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    Legal Business Name  |    BUFFALO CENTER MEDICAL AND SPECIALTY SERVICES PLLC 
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Dates
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    Enumeration Date     |    05/14/2026
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    Last Update Date     |    05/14/2026
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Provider Practice Location Address
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    Address Line         |    115 N MAIN ST 
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    City                 |    BUFFALO CENTER
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    State                |    IA
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    Zip                  |    50424-7731
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    Country              |    US
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    Telephone            |    507-238-4949
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    Fax                  |    507-238-4949
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Provider Business Mailing Address
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    Address Line         |    115 N MAIN ST 
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    City                 |    BUFFALO CENTER
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    State                |    IA
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    Zip                  |    50424-7731
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    Country              |    US
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    Telephone            |    507-238-4949
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    Fax                  |    507-238-4949
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     RICHARD  KILGORE 
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    Credential           |    
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    Telephone            |    507-238-4949
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    363LF0000X
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    Taxonomy Name        |    Family Nurse Practitioner
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    License Number       |    
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    License Number State |    
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