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General NPI Number Information
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NPI Number | 1043288293
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Entity Type | Organization
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Legal Business Name | ALLERGY ASTHMA IMMUNOLOGY OF ROCHESTER, PC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 07/20/2021
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Provider Practice Location Address
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Address Line | 3136 WINTON RD S STE 203
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City | ROCHESTER
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State | NY
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Zip | 14623-2928
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Country | US
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Telephone | 585-442-0150
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Fax | 585-271-8704
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Provider Business Mailing Address
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Address Line | 3136 WINTON RD S STE 203
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City | ROCHESTER
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State | NY
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Zip | 14623-2928
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Country | US
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Telephone | 585-442-0150
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Fax | 585-271-8704
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALBERT S HARTEL
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Credential | MD
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Telephone | 585-442-0150
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number |
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License Number State |
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