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General NPI Number Information
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NPI Number | 1386973717
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ROCHESTER
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Dates
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Enumeration Date | 12/14/2009
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Last Update Date | 01/07/2013
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Provider Practice Location Address
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Address Line | 601 ELMWOOD AVE # 638 ROOM 3-5022
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-275-6301
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Fax | 585-506-0367
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE ROOM 3-5022
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-275-6301
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Fax | 585-506-0367
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR OF PHARMACY
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Name | TIMOTHY WARNER
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Credential |
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Telephone | 585-275-9572
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number | 022767
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License Number State | NY
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