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General NPI Number Information
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NPI Number | 1194725788
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Entity Type | Individual
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Provider Name | BRIAN D ADCOCK PA
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Gender | Male
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Dates
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Enumeration Date | 07/26/2005
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Last Update Date | 04/13/2021
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Provider Practice Location Address
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Address Line | 995 SENATOR KEATING BLVD BUILDING E STE 330
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City | ROCHESTER
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State | NY
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Zip | 14618-2775
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Country | US
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Telephone | 585-232-2980
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Fax | 585-232-6522
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Provider Business Mailing Address
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Address Line | PO BOX 8000 DEPT. 441
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City | BUFFALO
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State | NY
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Zip | 14267-0002
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Country | US
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Telephone | 716-844-5600
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Fax | 716-844-5750
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 003405-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 003405
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License Number State | NY
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