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General NPI Number Information
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NPI Number | 1245327550
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Entity Type | Organization
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Legal Business Name | ROCHESTER EYE CARE GROUP, PC
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 12/15/2008
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Provider Practice Location Address
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Address Line | 30 N UNION ST 101
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City | ROCHESTER
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State | NY
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Zip | 14607-1345
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Country | US
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Telephone | 585-232-2560
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Fax | 585-232-6446
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Provider Business Mailing Address
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Address Line | 30 N UNION ST 101
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City | ROCHESTER
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State | NY
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Zip | 14607-1345
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Country | US
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Telephone | 585-232-2560
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Fax | 585-232-6446
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. JEFFERY E BALDICK
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Credential |
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Telephone | 585-546-7610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number |
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License Number State |
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