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General NPI Number Information
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NPI Number | 1467647362
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Entity Type | Organization
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Legal Business Name | MARCI J CHODROFF, MD, LLC
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Dates
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Enumeration Date | 09/13/2007
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Last Update Date | 01/16/2009
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Provider Practice Location Address
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Address Line | 919 WESTFALL RD. BUILDING B, SUITE 110
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City | ROCHESTER
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State | NY
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Zip | 14618
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Country | US
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Telephone | 585-442-5150
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Fax | 585-442-5152
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Provider Business Mailing Address
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Address Line | 919 WESTFALL RD. BUILDING B, SUITE 110
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City | ROCHESTER
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State | NY
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Zip | 14618
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Country | US
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Telephone | 585-442-5150
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Fax | 585-442-5152
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Authorized Official
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Title or Position | OWNER
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Name | DR. MARCI J CHODROFF
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Credential | MD
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Telephone | 585-442-5150
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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 | 197727
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License Number State | NY
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