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General NPI Number Information
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NPI Number | 1811636491
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Entity Type | Individual
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Provider Name | EMMA ANNECHINO
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Gender | Female
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 2535 BRIGHTON HENRIETTA TOWN LINE RD
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City | ROCHESTER
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State | NY
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Zip | 14623-2711
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Country | US
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Telephone | 585-201-8008
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Fax |
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Provider Business Mailing Address
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Address Line | 378 WOODSONG LN
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City | ROCHESTER
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State | NY
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Zip | 14612-4154
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Country | US
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Telephone | 585-506-5613
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Fax |
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 68-P139481-01
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License Number State | NY
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