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General NPI Number Information
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NPI Number | 1659335875
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Entity Type | Organization
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Legal Business Name | GENESEE VALLEY INTERNAL MEDICINE
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Dates
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Enumeration Date | 04/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 327 SENECA RD
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City | HORNELL
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State | NY
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Zip | 14843-1033
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Country | US
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Telephone | 607-324-0262
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Fax |
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Provider Business Mailing Address
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Address Line | 790 LINDEN AVE
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City | ROCHESTER
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State | NY
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Zip | 14625-2716
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Country | US
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Telephone | 585-385-9030
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Fax | 585-385-9124
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Authorized Official
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Title or Position | OWNER
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Name | DR. QAESAR RASHEED
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Credential | MD
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Telephone | 607-324-0262
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 229208
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License Number State | NY
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