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General NPI Number Information
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NPI Number | 1700015559
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Entity Type | Individual
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Provider Name | MARIA V KARIPIDIS POURIA M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/14/2009
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Last Update Date | 12/25/2025
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Provider Practice Location Address
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Address Line | 20 S CLINTON AVE
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City | ROCHESTER
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State | NY
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Zip | 14604-1793
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Country | US
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Telephone | 585-325-3920
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Fax |
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Provider Business Mailing Address
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Address Line | 20 S CLINTON AVE
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City | ROCHESTER
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State | NY
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Zip | 14604-1793
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Country | US
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Telephone | 585-325-3920
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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 | 2080S0010X
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Taxonomy Name | Pediatric Sports Medicine Physician
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License Number | 280861-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207RS0010X
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Taxonomy Name | Sports Medicine (Internal Medicine) Physician
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License Number | 280861-1
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 125057017
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License Number State | IL
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