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General NPI Number Information
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NPI Number | 1518004027
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Entity Type | Organization
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Legal Business Name | SIDNEY HILLMAN HEALTH CENTER OF ROCHESTER
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 750 EAST AVE SUITE 1
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City | ROCHESTER
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State | NY
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Zip | 14607-2100
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Country | US
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Telephone | 585-473-2555
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Fax | 585-242-7580
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Provider Business Mailing Address
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Address Line | 750 EAST AVE SUITE 1
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City | ROCHESTER
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State | NY
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Zip | 14607-2100
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Country | US
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Telephone | 585-473-2555
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Fax | 585-242-7580
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Authorized Official
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Title or Position | PHARMACY MANAGER
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Name | MR. THOMAS STERLING EDWARDS
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Credential | RPH
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Telephone | 585-473-2555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 011958
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License Number State | NY
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