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General NPI Number Information
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NPI Number | 1801841556
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Entity Type | Individual
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Provider Name | BRUCE K HIRA MD
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Gender | Male
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 01/14/2008
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Provider Practice Location Address
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Address Line | 1726 E RIDGE RD
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City | ROCHESTER
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State | NY
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Zip | 14622-2157
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Country | US
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Telephone | 585-266-8220
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Fax | 585-266-4491
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Provider Business Mailing Address
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Address Line | 800 CARTER ST ATTN KELLY STEELE
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City | ROCHESTER
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State | NY
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Zip | 14621
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Country | US
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Telephone | 585-266-8220
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Fax | 585-336-4845
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 1914671
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License Number State | NY
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