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General NPI Number Information
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NPI Number | 1518416031
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Entity Type | Organization
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Legal Business Name | CANANDAIGUA TRINITY OB/GYN, PLLC
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Dates
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Enumeration Date | 09/26/2016
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Last Update Date | 09/26/2016
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Provider Practice Location Address
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Address Line | 241 PARRISH ST STE B
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1784
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Country | US
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Telephone | 585-337-4335
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Fax | 585-337-4336
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Provider Business Mailing Address
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Address Line | 241 PARRISH ST STE B
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1784
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Country | US
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Telephone | 585-337-4335
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Fax | 585-337-4336
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Authorized Official
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Title or Position | OWNER
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Name | DR. HANI G CHEHATA
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Credential | M.B.CH.B (MD)
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Telephone | 607-731-8263
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 233381
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License Number State | NY
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