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General NPI Number Information
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NPI Number | 1114311305
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Entity Type | Individual
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Provider Name | HUGO CLIFFORD M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE BOX 604
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 646-643-2737
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 604
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone |
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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 | 207XS0106X
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Taxonomy Name | Orthopaedic Hand Surgery Physician
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License Number | 302719
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 302719
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License Number State | NY
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