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General NPI Number Information
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NPI Number | 1114542792
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Entity Type | Organization
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Legal Business Name | GERMAIN JEAN-CHARLES DDS PC
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Dates
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Enumeration Date | 06/10/2020
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 344 N MAIN ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1030
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Country | US
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Telephone | 585-394-5910
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Fax |
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Provider Business Mailing Address
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Address Line | 25 HIGHVIEW TRL
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City | PITTSFORD
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State | NY
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Zip | 14534-3441
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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 | CONSULTANT
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Name | IULIA RUS
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Credential |
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Telephone | 301-204-6956
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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