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General NPI Number Information
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NPI Number | 1568488633
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Entity Type | Individual
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Provider Name | JEROLD ALLEN DESIMONE I P.A.
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Gender | Male
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 945 E HENRIETTA RD
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City | ROCHESTER
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State | NY
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Zip | 14623-1419
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Country | US
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Telephone | 585-292-6440
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Fax | 585-292-6491
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Provider Business Mailing Address
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Address Line | 945 E HENRIETTA RD
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City | ROCHESTER
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State | NY
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Zip | 14623-1419
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Country | US
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Telephone | 585-292-6440
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Fax | 585-292-6491
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 4244
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 23-004244
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License Number State | NY
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