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General NPI Number Information
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NPI Number | 1598835365
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Entity Type | Organization
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Legal Business Name | DINOLFO URBAN LLP
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Dates
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Enumeration Date | 11/09/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1283 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-2728
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Country | US
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Telephone | 585-544-5880
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Fax | 585-544-3327
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Provider Business Mailing Address
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Address Line | 1283 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-2728
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Country | US
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Telephone | 585-544-5880
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Fax | 585-544-3327
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. RICHARD URBAN
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Credential | M.D.
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Telephone | 585-544-5880
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 200347
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 140202
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License Number State | NY
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