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General NPI Number Information
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NPI Number | 1225612765
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Entity Type | Organization
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Legal Business Name | REGIONAL HEALTH REACH INC.
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Dates
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Enumeration Date | 05/11/2021
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Last Update Date | 09/14/2021
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Provider Practice Location Address
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Address Line | 65 GENESEE ST FL 1
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City | ROCHESTER
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State | NY
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Zip | 14611-3201
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Country | US
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Telephone | 585-368-3720
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Fax |
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Provider Business Mailing Address
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Address Line | 75 GENESEE ST FL 1
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City | ROCHESTER
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State | NY
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Zip | 14611-3201
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Country | US
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Telephone | 585-368-3720
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KAREN KINTER
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Credential |
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Telephone | 585-368-3457
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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