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General NPI Number Information
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NPI Number | 1023187085
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Entity Type | Organization
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Legal Business Name | GREATER ROCHESTER ORTHOPAEDICS, PC
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 11/07/2008
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Provider Practice Location Address
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Address Line | 30 HAGEN DR SUITE 220 LINDEN OAKS MEDICAL CAMPUS
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City | ROCHESTER
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State | NY
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Zip | 14625-2658
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Country | US
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Telephone | 585-295-5302
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Fax | 585-248-0567
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Provider Business Mailing Address
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Address Line | 30 HAGEN DR SUITE 220 LINDEN OAKS MEDICAL CAMPUS
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City | ROCHESTER
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State | NY
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Zip | 14625-2658
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Country | US
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Telephone | 585-295-5302
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Fax | 585-248-0567
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | MR. ALBERT CAMPAGNA
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Credential |
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Telephone | 585-295-5314
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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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