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General NPI Number Information
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NPI Number | 1639563968
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Entity Type | Organization
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Legal Business Name | ROCHESTER GENERAL HOSPITAL
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Dates
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Enumeration Date | 03/25/2015
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Last Update Date | 03/25/2015
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Provider Practice Location Address
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Address Line | 1425 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-3001
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Country | US
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Telephone | 585-922-5606
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Fax | 585-922-3834
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Provider Business Mailing Address
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Address Line | 1425 PORTLAND AVE
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City | ROCHESTER
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State | NY
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Zip | 14621-3001
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Country | US
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Telephone | 585-922-5606
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Fax | 585-922-3834
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Authorized Official
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Title or Position | CLINICAL PHARMACIST SPECIALIST
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Name | CHRISTINA KELTZ
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Credential | PHARMD
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Telephone | 585-922-5606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 58093
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License Number State | NY
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