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General NPI Number Information
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NPI Number | 1881731842
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Entity Type | Individual
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Provider Name | ROSEANN N CIRINCIONE OD
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Gender | Female
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Dates
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Enumeration Date | 01/31/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 100 ELMRIDGE CENTER DR
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City | ROCHESTER
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State | NY
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Zip | 14626-3459
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Country | US
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Telephone | 585-227-2290
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Fax |
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Provider Business Mailing Address
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Address Line | 1705 COVELL RD
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City | BROCKPORT
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State | NY
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Zip | 14420-9732
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Country | US
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Telephone | 585-637-0123
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | T-005542
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License Number State | NY
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