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General NPI Number Information
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NPI Number | 1033124268
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Entity Type | Organization
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Legal Business Name | MICHELE & RICHARD JAMISON, M.D.'S, P.C.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 90 ERIE CANAL DR SUITE A
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City | ROCHESTER
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State | NY
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Zip | 14626-4601
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Country | US
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Telephone | 585-225-5883
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Fax | 585-225-8902
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Provider Business Mailing Address
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Address Line | 90 ERIE CANAL DR SUITE A
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City | ROCHESTER
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State | NY
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Zip | 14626-4601
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Country | US
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Telephone | 585-225-5883
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Fax | 585-225-8902
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | DR. MICHELE A JAMISON
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Credential | M.D.
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Telephone | 585-225-5883
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 201772
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License Number State | NY
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