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General NPI Number Information
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NPI Number | 1720259443
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Entity Type | Organization
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Legal Business Name | DERMATOLOGY &COSMETIC CENTER OF ROCHESTER
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Dates
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Enumeration Date | 03/20/2008
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Last Update Date | 07/17/2008
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Provider Practice Location Address
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Address Line | 1338 E RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14621-2018
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Country | US
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Telephone | 585-544-7000
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Fax | 585-544-7080
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Provider Business Mailing Address
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Address Line | 1338 E RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14621-2018
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Country | US
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Telephone | 585-544-7000
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Fax | 585-544-7080
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOWARD DONSKY
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Credential | MD
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Telephone | 585-544-7000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 190014
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License Number State | NY
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