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General NPI Number Information
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NPI Number | 1730200478
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Entity Type | Organization
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Legal Business Name | PEDIATRICS AT THE BASIN
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Dates
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Enumeration Date | 04/02/2007
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Last Update Date | 10/30/2021
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Provider Practice Location Address
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Address Line | 32 SUNRISE HL
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City | PITTSFORD
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State | NY
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Zip | 14534-9778
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Country | US
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Telephone | 585-233-5565
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Fax | 585-586-4984
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Provider Business Mailing Address
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Address Line | 32 SUNRISE HL
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City | PITTSFORD
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State | NY
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Zip | 14534-9778
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Country | US
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Telephone | 585-233-5565
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. ALICE A LOVEYS
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Credential | M.D.
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Telephone | 585-233-5565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 190299
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083C0008X
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Taxonomy Name | Clinical Informatics Physician
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License Number |
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License Number State |
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