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General NPI Number Information
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NPI Number | 1376980185
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Entity Type | Individual
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Provider Name | RICHARD ROVET PMHNP-BC
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Gender | Male
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Dates
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Enumeration Date | 06/03/2013
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Last Update Date | 02/27/2015
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Provider Practice Location Address
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Address Line | 3453 W LAKE RD
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City | CANANDAIGUA
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State | NY
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Zip | 14424-2467
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Country | US
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Telephone | 937-723-1956
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Fax |
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Provider Business Mailing Address
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Address Line | 3453 W LAKE RD
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City | CANANDAIGUA
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State | NY
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Zip | 14424-2467
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Country | US
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Telephone | 937-723-1956
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Fax |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 478025
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License Number State | NY
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