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General NPI Number Information
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NPI Number | 1063435238
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Entity Type | Individual
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Provider Name | ROKSOLANA KUCHMA MD
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Gender | Female
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 06/08/2015
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Provider Practice Location Address
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Address Line | 2350 RIDGEWAY AVE
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City | ROCHESTER
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State | NY
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Zip | 14626-4127
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Country | US
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Telephone | 585-922-2440
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Fax | 585-663-3293
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-922-1469
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Fax | 585-922-1399
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 249194
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 249194
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License Number State | NY
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