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General NPI Number Information
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NPI Number | 1467090761
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Entity Type | Organization
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Legal Business Name | COMMUNITY MEDICAL SERVICES, PC
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 12/17/2019
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Provider Practice Location Address
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Address Line | COMMUNITY MEDICAL SERVICES, PC 39 DELEVAN STREET
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City | ROCHESTER
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State | NY
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Zip | 14605
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Country | US
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Telephone | 585-545-7218
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Fax |
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Provider Business Mailing Address
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Address Line | C/O TRILLIUM HEALTH, INC. 259 MONROE AVENUE, SUITE 100
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City | ROCHESTER
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State | NY
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Zip | 14607
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Country | US
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Telephone | 585-545-7218
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Fax |
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Authorized Official
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Title or Position | SOLE SHAREHOLDER
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Name | DR. ROBERT M BIERNBAUM
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Credential | DO
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Telephone | 585-210-4238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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