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General NPI Number Information
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NPI Number | 1548371693
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Entity Type | Organization
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Legal Business Name | ROCHESTER DIAGNOSTIC AND SPECIALTY CENTER
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 543 N MAIN ST
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City | ROCHESTER
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State | MI
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Zip | 48307-1485
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Country | US
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Telephone | 248-656-3100
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Fax | 248-656-3152
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Provider Business Mailing Address
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Address Line | PO BOX 82177
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City | ROCHESTER
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State | MI
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Zip | 48308-2177
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Country | US
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Telephone | 248-656-3100
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Fax | 248-656-3152
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Authorized Official
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Title or Position | CHAIRMAN/OWNER
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Name | DR. PIERRE C ATALLAH
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Credential | M.D.
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Telephone | 248-656-3100
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207U00000X
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Taxonomy Name | Nuclear Medicine Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2085U0001X
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Taxonomy Name | Diagnostic Ultrasound Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 247200000X
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Taxonomy Name | Other Technician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 374700000X
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Taxonomy Name | Technician
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License Number |
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License Number State |
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Taxonomy #9
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number |
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License Number State |
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