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General NPI Number Information
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NPI Number | 1649653510
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Entity Type | Organization
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Legal Business Name | COMPEER, INC.
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Dates
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Enumeration Date | 07/09/2015
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Last Update Date | 07/09/2015
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Provider Practice Location Address
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Address Line | 1600 SOUTH AVE SUITE 230
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City | ROCHESTER
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State | NY
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Zip | 14620-3924
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Country | US
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Telephone | 800-836-0475
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Fax | 585-442-7573
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Provider Business Mailing Address
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Address Line | 1600 SOUTH AVE SUITE 230
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City | ROCHESTER
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State | NY
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Zip | 14620-3924
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Country | US
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Telephone | 800-836-0475
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Fax | 585-442-7573
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Authorized Official
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Title or Position | INTERIM CEO AND PRESIDENT
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Name | MS. JOHANNA M. AMBROSE
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Credential |
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Telephone | 800-836-0475
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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