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General NPI Number Information
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NPI Number | 1366550162
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Entity Type | Individual
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Provider Name | BERNEDETTE P MINNELLA MD
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Gender | Female
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Dates
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Enumeration Date | 08/29/2006
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Last Update Date | 07/31/2023
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Provider Practice Location Address
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Address Line | 300 WHITE SPRUCE BLVD SUITE 100
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City | ROCHESTER
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State | NY
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Zip | 14623-1606
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Country | US
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Telephone | 585-424-5440
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Fax | 585-427-2712
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Provider Business Mailing Address
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Address Line | 300 WHITE SPRUCE BLVD SUITE 100
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City | ROCHESTER
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State | NY
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Zip | 14623-1606
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Country | US
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Telephone | 585-697-7040
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Fax | 585-427-2712
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 239507-1
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License Number State | NY
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