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General NPI Number Information
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NPI Number | 1326217589
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Entity Type | Organization
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Legal Business Name | LINDEN OAKS INTERNAL MEDICINE, LLP
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Dates
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Enumeration Date | 02/21/2008
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Last Update Date | 02/21/2008
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Provider Practice Location Address
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Address Line | 10 HAGEN DR SUITE 350
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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 | 585-385-5555
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Fax | 585-385-5611
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Provider Business Mailing Address
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Address Line | 10 HAGEN DR SUITE 350
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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 | 585-385-5555
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Fax | 585-385-5611
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Authorized Official
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Title or Position | MD
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Name | DR. MICHAEL ALAN KUKFA
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Credential | MD
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Telephone | 585-385-5555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 175129
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License Number State | NY
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