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General NPI Number Information
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NPI Number | 1215012521
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Entity Type | Individual
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Provider Name | PATRICIA ANN MCCABE PNP
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Gender | Female
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1850 BUFFALO RD SUITE 200 GENESIS PEDIATRICS
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City | ROCHESTER
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State | NY
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Zip | 14624-1502
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Country | US
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Telephone | 585-426-4100
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Fax | 585-426-3701
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Provider Business Mailing Address
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Address Line | 9 LANTERN LN
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City | HONEOYE FALLS
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State | NY
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Zip | 14472-9321
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Country | US
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Telephone | 585-255-0685
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | F380023
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License Number State | NY
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