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General NPI Number Information
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NPI Number | 1255360517
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Entity Type | Organization
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Legal Business Name | ROCHESTER GENERAL HOSPITAL
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Dates
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Enumeration Date | 06/30/2006
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Last Update Date | 06/24/2014
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Provider Practice Location Address
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Address Line | 1425 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-3001
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Country | US
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Telephone | 585-922-4000
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Fax |
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Provider Business Mailing Address
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Address Line | 1425 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-3001
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Country | US
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Telephone | 585-922-4000
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Fax |
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Authorized Official
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Title or Position | SVP- FINANCE
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Name | PAULA TINCH
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Credential |
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Telephone | 585-922-1223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2701003H
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License Number State | NY
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