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General NPI Number Information
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NPI Number | 1730585522
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Entity Type | Organization
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Legal Business Name | CLIFTON SPRINGS SANITARIUM COMPANY
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Dates
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Enumeration Date | 11/06/2014
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Last Update Date | 10/04/2016
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Provider Practice Location Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-922-1900
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone | 585-922-1900
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Fax |
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Authorized Official
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Title or Position | SVP-FINANCE
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Name | PAULA M. TINCH
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Credential |
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Telephone | 585-922-1223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State | NY
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