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General NPI Number Information
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NPI Number | 1356903967
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Entity Type | Organization
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Legal Business Name | UNITY LINDEN OAKS SURGERY CENTER
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 07/03/2019
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Provider Practice Location Address
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Address Line | 1065 SENATOR KEATING BLVD
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City | ROCHESTER
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State | NY
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Zip | 14618
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Country | US
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Telephone | 585-256-1330
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Fax | 585-256-3823
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Provider Business Mailing Address
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Address Line | 1065 SENATOR KEATING BLVD
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City | ROCHESTER
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State | NY
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Zip | 14618
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Country | US
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Telephone | 585-256-1330
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Fax | 585-256-3823
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. JEFFREY PEACOCK
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Credential |
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Telephone | 585-922-6201
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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