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General NPI Number Information
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NPI Number | 1417611039
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Entity Type | Organization
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Legal Business Name | FINGERLAKES ORTHOPEDIC AND SPINE, PLLC
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 04/19/2022
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Provider Practice Location Address
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Address Line | 2375 STATE ROUTE 332 STE 300
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City | CANANDAIGUA
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State | NY
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Zip | 14424-7512
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Country | US
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Telephone | 310-210-1801
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Fax |
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Provider Business Mailing Address
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Address Line | 3687 SUMMIT VW
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City | CANANDAIGUA
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State | NY
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Zip | 14424-2732
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Country | US
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Telephone | 310-210-1801
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Fax |
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Authorized Official
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Title or Position | OWNER/AUTHORIZED OFFICIAL
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Name | DR. CHIBUIKEM PHILIP AKAMNONU
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Credential | MD
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Telephone | 310-210-1801
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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