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General NPI Number Information
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NPI Number | 1427136647
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF THE DICESE OF ROCHESTER
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Dates
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Enumeration Date | 11/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 94 EXCHANGE ST CATHOLIC CHARITIES OF THE FINGER LAKES
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City | GENEVA
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State | NY
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Zip | 14456
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Country | US
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Telephone | 315-789-2686
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Fax | 315-789-5785
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Provider Business Mailing Address
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Address Line | 94 EXCHANGE ST CATHOLIC CHARITIES OF THE FINGER LAKES
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City | GENEVA
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State | NY
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Zip | 14456
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Country | US
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Telephone | 315-789-2686
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Fax | 315-789-5785
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. ANTHONY BARBARO
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Credential |
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Telephone | 315-789-2686
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | R0163521
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License Number State | NY
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