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General NPI Number Information
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NPI Number | 1801366380
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Entity Type | Organization
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Legal Business Name | UNIVERSITY ORTHOPAEDIC ASSOCIATES OF ROCHESTER
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Dates
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Enumeration Date | 11/28/2018
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Last Update Date | 03/07/2019
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Provider Practice Location Address
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Address Line | 156 WEST AVE
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City | BROCKPORT
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State | NY
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Zip | 14420-1229
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Country | US
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Telephone | 585-637-0329
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Fax |
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 665
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 585-275-5169
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Fax |
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Authorized Official
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Title or Position | SENIOR DIRECTOR OF FINANCE -URMFG
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Name | JILL M HETTERICH
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Credential |
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Telephone | 585-756-4003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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