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General NPI Number Information
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NPI Number | 1487911863
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Entity Type | Organization
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Legal Business Name | WEST RIDGE OBSTETRICS & GYNECOLOGY, LLP
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Dates
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Enumeration Date | 04/23/2012
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Last Update Date | 04/23/2012
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Provider Practice Location Address
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Address Line | 3101 W RIDGE RD BLDG D
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City | ROCHESTER
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State | NY
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Zip | 14626-3249
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Country | US
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Telephone | 585-225-1580
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Fax | 585-225-2040
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Provider Business Mailing Address
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Address Line | 3101 W RIDGE RD BLDG D
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City | ROCHESTER
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State | NY
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Zip | 14626-3249
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Country | US
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Telephone | 585-225-1580
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Fax | 585-225-2040
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | CHRISTOPHER J LESTORTI
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Credential |
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Telephone | 585-720-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 33D2030621
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 33D0884731
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 33D0700602
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License Number State | NY
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