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General NPI Number Information
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NPI Number | 1184668311
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Entity Type | Organization
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Legal Business Name | STRONG OBSTETRICS-GYNECOLOGY GROUP
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 03/08/2018
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE BOX 668
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City | ROCHESTER
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State | NY
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Zip | 14642
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Country | US
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Telephone | 585-256-3887
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Fax | 585-256-3508
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 668
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City | ROCHESTER
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State | NY
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Zip | 14642
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Country | US
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Telephone | 585-273-3232
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Fax | 585-256-3508
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Authorized Official
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Title or Position | SENIOR DIRECTOR FINANCE URMFG
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Name | JILL M HETTERICH
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Credential |
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Telephone | 585-756-4003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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