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General NPI Number Information
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NPI Number | 1457579765
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Entity Type | Organization
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Legal Business Name | ELMWOOD MEDICAL ASSOCIATES,PC
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Dates
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Enumeration Date | 04/23/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 220 LINDEN OAKS SUITE 100
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City | ROCHESTER
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State | NY
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Zip | 14625-2839
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Country | US
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Telephone | 585-249-1344
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Fax | 585-149-2349
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Provider Business Mailing Address
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Address Line | 220 LINDEN OAKS SUITE 100
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City | ROCHESTER
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State | NY
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Zip | 14625-2839
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Country | US
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Telephone | 585-249-1344
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Fax | 585-149-2349
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | MRS. SHEILA SULLIVAN
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Credential |
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Telephone | 585-249-1344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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