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General NPI Number Information
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NPI Number | 1386678563
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Entity Type | Individual
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Provider Name | ASHISH B BOGHANI MD
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Gender | Male
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 07/05/2023
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Provider Practice Location Address
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Address Line | 1000 SOUTH AVE HIGHLAND HOSPITAL
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City | ROCHESTER
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State | NY
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Zip | 14620-2733
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Country | US
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Telephone | 585-473-2200
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Fax | 585-341-8096
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Provider Business Mailing Address
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Address Line | 131 ROBY DR
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City | ROCHESTER
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State | NY
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Zip | 14618-2113
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Country | US
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Telephone | 585-242-0124
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Fax | 585-461-4941
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 207973
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License Number State | NY
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