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General NPI Number Information
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NPI Number | 1235143421
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Entity Type | Individual
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Provider Name | JENNIFER A GARGANO MD
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Gender | Female
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Dates
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Enumeration Date | 07/27/2006
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 10 HAGEN DR LOWR LEVEL
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City | ROCHESTER
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State | NY
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Zip | 14625-2660
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Country | US
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Telephone | 585-922-5465
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Fax |
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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 | 585-922-0553
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 240071
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207LH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Anesthesiology) Physician
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License Number | 240071
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 240071
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License Number State | NY
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