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General NPI Number Information
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NPI Number | 1467635433
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Entity Type | Organization
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Legal Business Name | GREATER ROCHESTER PROSTHETICS & ORTHOTICS INC
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Dates
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Enumeration Date | 12/12/2007
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 1576 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-4119
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Country | US
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Telephone | 585-436-7550
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Fax | 585-436-4022
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Provider Business Mailing Address
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Address Line | 1576 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-5197
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Country | US
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Telephone | 585-436-7550
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Fax | 585-436-4022
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Authorized Official
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Title or Position | OWNER
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Name | PETER J PISTILLI
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Credential | CPO
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Telephone | 585-436-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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