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General NPI Number Information
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NPI Number | 1962596718
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF BUFFALO
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 02/10/2015
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Provider Practice Location Address
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Address Line | 76 W. HUMBOLDT PARKWAY
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City | BUFFALO
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State | NY
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Zip | 14214
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Country | US
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Telephone | 716-856-4494
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Fax | 716-842-1277
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Provider Business Mailing Address
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Address Line | 741 DELAWARE AVE
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City | BUFFALO
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State | NY
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Zip | 14209-2201
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Country | US
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Telephone | 716-218-1450
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Fax | 716-332-2820
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MR. DENNIS WALCZYK
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Credential |
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Telephone | 716-218-1450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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