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General NPI Number Information
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NPI Number | 1801410683
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF ROCHESTER
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Dates
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Enumeration Date | 06/08/2020
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Last Update Date | 12/14/2020
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Provider Practice Location Address
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Address Line | 1815 S CLINTON AVE STE 400
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City | ROCHESTER
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State | NY
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Zip | 14618-5719
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Country | US
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Telephone | 585-276-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 155 BELLWOOD DR
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City | ROCHESTER
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State | NY
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Zip | 14606-4226
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Country | US
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Telephone | 585-274-3036
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE DIRECTOR
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Name | TIMOTHY J WARNER
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Credential | RPH
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Telephone | 585-274-3036
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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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 | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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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 | 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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