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General NPI Number Information
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NPI Number | 1194060566
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Entity Type | Organization
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Legal Business Name | ROCHESTER REHABILITATION CENTER
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Dates
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Enumeration Date | 12/11/2012
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Last Update Date | 12/11/2012
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Provider Practice Location Address
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Address Line | 1000 ELMWOOD AVE SUITE 600
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City | ROCHESTER
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State | NY
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Zip | 14620-3042
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Country | US
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Telephone | 585-271-2520
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Fax | 585-295-6070
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Provider Business Mailing Address
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Address Line | 1000 ELMWOOD AVE SUITE 600
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City | ROCHESTER
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State | NY
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Zip | 14620-3042
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Country | US
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Telephone | 585-271-2520
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Fax | 585-295-6070
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Authorized Official
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Title or Position | PRIMARY THERAPIST
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Name | MRS. THERESA B MCVEIGH
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Credential | LCSW
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Telephone | 585-271-2520
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 079663
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License Number State | NY
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