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General NPI Number Information
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NPI Number | 1366541278
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Entity Type | Organization
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Legal Business Name | MEDICAL ADMINISTRATIVE ASSOCIATES, INC
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 02/28/2025
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Provider Practice Location Address
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Address Line | 910 GENESEE ST STE A
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City | ROCHESTER
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State | NY
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Zip | 14611-3847
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Country | US
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Telephone | 585-602-1190
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Fax | 585-275-5119
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Provider Business Mailing Address
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Address Line | 910 GENESEE ST STE A
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City | ROCHESTER
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State | NY
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Zip | 14611-3847
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Country | US
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Telephone | 585-602-1190
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Fax | 585-275-5119
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR
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Name | JASON SMITH
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Credential | PHARMD
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Telephone | 585-275-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 027014
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License Number State | NY
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