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General NPI Number Information
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NPI Number | 1457580532
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Entity Type | Individual
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Provider Name | BRIAN DEWAYNE DAY D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 08/25/2016
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Provider Practice Location Address
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Address Line | 2350 RIDGEWAY AVE STE A
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City | ROCHESTER
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State | NY
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Zip | 14626-4127
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Country | US
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Telephone | 585-922-2440
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Fax | 585-663-3293
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Provider Business Mailing Address
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Address Line | 1500 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-3065
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Country | US
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Telephone | 585-697-6000
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Fax | 585-342-9166
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | A259723
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | A259723
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License Number State | NY
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