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General NPI Number Information
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NPI Number | 1962665455
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Entity Type | Organization
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Legal Business Name | BUFFALO ELECTROPHYSIOLOGY, LLC
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Dates
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Enumeration Date | 07/06/2008
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Last Update Date | 08/13/2008
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Provider Practice Location Address
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Address Line | 5225 SHERIDAN DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-3573
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Country | US
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Telephone | 716-565-0004
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Fax | 716-839-0810
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Provider Business Mailing Address
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Address Line | 5225 SHERIDAN DR
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-3573
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Country | US
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Telephone | 716-565-0004
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Fax | 716-839-0810
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Authorized Official
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Title or Position | PARTNER
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Name | DR. STEPHEN T ZADOR
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Credential | MD
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Telephone | 716-565-0004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0001X
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Taxonomy Name | Clinical Cardiac Electrophysiology Physician
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License Number | 144605-1
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License Number State | NY
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