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General NPI Number Information
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NPI Number | 1912099136
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Entity Type | Organization
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Legal Business Name | NEUROLOGY ASSOCIATES OF ROCHESTER PC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 1415 PORTLAND AVE SUITE 575
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City | ROCHESTER
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State | NY
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Zip | 14621-3038
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Country | US
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Telephone | 585-336-5336
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Fax | 585-336-5117
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Provider Business Mailing Address
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Address Line | 20 HAGEN DR. SUITE 300
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City | ROCHESTER
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State | NY
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Zip | 14625
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Country | US
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Telephone | 585-586-7550
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Fax | 585-586-7588
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Authorized Official
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Title or Position | ADMIN ASSIST
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Name | BETH A HALEY
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Credential |
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Telephone | 585-586-7550
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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