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General NPI Number Information
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NPI Number | 1477869816
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Entity Type | Organization
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Legal Business Name | STEPHEN E PRESSER M.D. PC
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 1815 SOUTH CLINTON AVENUE STE 530
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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 | 585-442-4310
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Fax | 585-442-6750
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Provider Business Mailing Address
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Address Line | 1815 SOUTH CLINTON AVENUE STE 530
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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 | 585-442-4310
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Fax | 585-442-6750
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Authorized Official
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Title or Position | SUPERVISING PHYSICIAN
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Name | MR. STEPHEN ERIC PRESSER
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Credential | M.D.
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Telephone | 585-442-4310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 149206-1
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License Number State | NY
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