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General NPI Number Information
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NPI Number | 1376833269
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Entity Type | Organization
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Legal Business Name | DONALD LONDORF MD PC
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Dates
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Enumeration Date | 04/12/2011
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Last Update Date | 04/12/2011
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Provider Practice Location Address
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Address Line | 1 GROVE ST STE 103
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City | PITTSFORD
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State | NY
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Zip | 14534-1328
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Country | US
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Telephone | 585-234-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 1 GROVE ST STE 103
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City | PITTSFORD
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State | NY
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Zip | 14534-1328
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Country | US
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Telephone | 585-234-0302
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DONALD LONDORF
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Credential | M.D., L.AC.
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Telephone | 585-234-0302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 1987851
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License Number State | NY
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