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General NPI Number Information
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NPI Number | 1154361442
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Entity Type | Individual
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Provider Name | THOMAS R ADLER M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 03/23/2014
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Provider Practice Location Address
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Address Line | 99 CANAL LANDING BLVD STE 7
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City | ROCHESTER
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State | NY
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Zip | 14626-5112
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Country | US
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Telephone | 585-723-8710
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Fax | 585-723-8395
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Provider Business Mailing Address
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Address Line | 99 CANAL LANDING BLVD STE 7
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City | ROCHESTER
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State | NY
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Zip | 14626-5112
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Country | US
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Telephone | 585-723-8710
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Fax | 585-723-8395
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 179625
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License Number State | NY
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