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General NPI Number Information
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NPI Number | 1114162534
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Entity Type | Individual
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Provider Name | ARI CHODOS MD
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Gender | Male
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Dates
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Enumeration Date | 12/15/2008
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1561 LONG POND RD SUITE 308
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City | ROCHESTER
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State | NY
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Zip | 14626-4117
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Country | US
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Telephone | 585-227-1080
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Fax |
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Provider Business Mailing Address
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Address Line | 44 SHOREHAM DR
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City | ROCHESTER
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State | NY
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Zip | 14618-4108
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Country | US
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Telephone | 773-349-1432
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Fax |
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 270395-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 25MA08616400
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License Number State | NJ
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