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General NPI Number Information
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NPI Number | 1386743052
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Entity Type | Organization
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Legal Business Name | GREECE OBSTETRICS AND GYNECOLOGY GROUP LLP
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 01/24/2019
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Provider Practice Location Address
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Address Line | 2337 RIDGEWAY AVE
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City | ROCHESTER
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State | NY
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Zip | 14626-4111
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Country | US
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Telephone | 585-225-6680
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Fax | 585-225-3472
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Provider Business Mailing Address
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Address Line | 2337 RIDGEWAY AVE
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City | ROCHESTER
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State | NY
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Zip | 14626-4111
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Country | US
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Telephone | 585-225-6680
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Fax | 585-225-3472
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Authorized Official
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Title or Position | BUSINESS MANAGER
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Name | CONNIE ULMEN
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Credential |
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Telephone | 585-225-6680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | NY
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