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General NPI Number Information
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NPI Number | 1215405436
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Entity Type | Individual
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Provider Name | ERIN ANNE DINGMAN PA-C, CNMT
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Gender | Female
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Dates
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Enumeration Date | 11/06/2018
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Last Update Date | 09/15/2022
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Provider Practice Location Address
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Address Line | 2 COULTER RD
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City | CLIFTON SPRINGS
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State | NY
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Zip | 14432-1122
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Country | US
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Telephone | 315-462-1472
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Fax | 315-462-2639
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 315-462-1472
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Fax | 315-462-2639
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 022904
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License Number State | NY
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