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General NPI Number Information
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NPI Number | 1841323292
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Entity Type | Individual
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Provider Name | DEBORAH P COOTS RN
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Gender | Female
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Dates
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Enumeration Date | 03/14/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | VAMC 400 FORTHILL AVE
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City | CANANDAIGUA
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State | NY
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Zip | 14544
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Country | US
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Telephone | 585-393-7896
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Fax |
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Provider Business Mailing Address
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Address Line | 6274 N VINE VALLEY RD
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City | RUSHVILLE
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State | NY
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Zip | 14544-9677
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Country | US
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Telephone | 585-554-4018
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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 | 311500000X
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Taxonomy Name | Alzheimer Center (Dementia Center)
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License Number | 306407-1
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License Number State | NY
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