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General NPI Number Information
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NPI Number | 1356713945
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Entity Type | Individual
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Provider Name | ALEXANDRIA S RIVAZFAR PA
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Gender | Female
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Dates
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Enumeration Date | 10/22/2015
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Last Update Date | 11/12/2025
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Provider Practice Location Address
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Address Line | 170 SCIENCE PKWY
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City | ROCHESTER
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State | NY
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Zip | 14620-4251
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Country | US
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Telephone | 585-545-7200
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Fax | 585-244-8177
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Provider Business Mailing Address
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Address Line | 259 MONROE AVE STE 100
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City | ROCHESTER
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State | NY
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Zip | 14607-3632
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Country | US
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Telephone | 585-545-7200
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Fax | 585-244-8177
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 019196
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA8156
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License Number State | MA
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