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General NPI Number Information
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NPI Number | 1154488161
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Entity Type | Individual
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Provider Name | CHRISTINA EADIE TADDEO MD
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 360 LINDEN OAKS SUITE 200
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City | ROCHESTER
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State | NY
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Zip | 14625-2814
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Country | US
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Telephone | 585-922-8315
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Fax | 585-922-6290
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Provider Business Mailing Address
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Address Line | 360 LINDEN OAKS SUITE 200
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City | ROCHESTER
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State | NY
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Zip | 14625-2814
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Country | US
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Telephone | 585-922-8315
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 247122
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 247122
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License Number State | NY
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