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General NPI Number Information
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NPI Number | 1629636790
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Entity Type | Individual
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Provider Name | CATHERINE RACHEL CRAVEN MD
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Gender | Female
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 06/04/2024
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Provider Practice Location Address
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Address Line | 2655 RIDGEWAY AVE STE 420
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City | ROCHESTER
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State | NY
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Zip | 14626-4296
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Country | US
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Telephone | 585-723-7972
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-922-1900
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Fax |
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | MT217251
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 327951
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License Number State | NY
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