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General NPI Number Information
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NPI Number | 1073614533
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Entity Type | Organization
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Legal Business Name | HUTHER DOYLE MEMORIAL INSTITUTE
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 09/14/2018
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Provider Practice Location Address
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Address Line | 360 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14604-2638
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Country | US
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Telephone | 585-325-5100
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Fax |
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Provider Business Mailing Address
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Address Line | 360 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14604-2638
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Country | US
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Telephone | 585-325-5100
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. KELLY A REED
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Credential |
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Telephone | 585-325-5100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 180410827
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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