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General NPI Number Information
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NPI Number | 1659300879
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Entity Type | Organization
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Legal Business Name | ROCHESTER FAMILY PHYSICIANS, PC
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Dates
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Enumeration Date | 07/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 427 W UNIVERSITY DR
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City | ROCHESTER
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State | MI
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Zip | 48307-1943
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Country | US
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Telephone | 248-651-1155
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Fax | 248-651-8537
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Provider Business Mailing Address
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Address Line | 427 W UNIVERSITY DR
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City | ROCHESTER
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State | MI
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Zip | 48307-1943
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Country | US
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Telephone | 248-651-1155
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Fax | 248-651-8537
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Authorized Official
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Title or Position | OWNER
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Name | DR. RICHARD C DAYTON
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Credential | M.D.
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Telephone | 248-651-1155
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | RD4301022346
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License Number State | MI
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