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General NPI Number Information
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NPI Number | 1881795334
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Entity Type | Organization
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Legal Business Name | INTERNAL MEDICINE ASSOCIATES OF WEBSTER,P.C.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 10/16/2012
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Provider Practice Location Address
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Address Line | 1130 CROSSPOINTE LN SUITE # 3
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City | WEBSTER
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State | NY
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Zip | 14580-2986
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Country | US
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Telephone | 585-265-0800
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Fax | 585-861-6460
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Provider Business Mailing Address
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Address Line | 1130 CROSSPOINTE LN SUITE # 3
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City | WEBSTER
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State | NY
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Zip | 14580-2986
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Country | US
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Telephone | 585-265-0800
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Fax | 585-861-6460
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. DEBORAH L DESANTIS
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Credential |
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Telephone | 585-265-0800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 159600
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License Number State | NY
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