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General NPI Number Information
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NPI Number | 1578294518
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Entity Type | Organization
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Legal Business Name | FLOWER CITY DERMATOLOGY PC
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Dates
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Enumeration Date | 06/21/2022
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Last Update Date | 09/28/2022
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Provider Practice Location Address
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Address Line | 200 CANAL VIEW BLVD STE 100
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City | ROCHESTER
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State | NY
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Zip | 14623-2850
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Country | US
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Telephone | 585-749-8534
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Fax |
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Provider Business Mailing Address
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Address Line | 200 CANAL VIEW BLVD STE 100
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City | ROCHESTER
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State | NY
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Zip | 14623-2850
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Country | US
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Telephone | 585-749-8534
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATHRYN E SOMERS
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Credential | MD
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Telephone | 585-749-8534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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