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General NPI Number Information
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NPI Number | 1831365063
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Entity Type | Individual
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Provider Name | GAIL BOTTOMLEY NP
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Gender | Female
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 09/30/2019
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Provider Practice Location Address
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Address Line | 1580 ELMWOOD AVE STE 1E
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City | ROCHESTER
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State | NY
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Zip | 14620-3620
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Country | US
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Telephone | 585-305-7934
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Fax | 949-404-6353
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Provider Business Mailing Address
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Address Line | 2899 ELMWOOD AVE
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City | ROCHESTER
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State | NY
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Zip | 14618-2019
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Country | US
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Telephone | 212-781-0677
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 302528
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License Number State | NY
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