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General NPI Number Information
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NPI Number | 1912183690
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Entity Type | Organization
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Legal Business Name | BRIGHTON PSYCHIATRIC SERVICES PC
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Dates
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Enumeration Date | 01/13/2008
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Last Update Date | 01/13/2008
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Provider Practice Location Address
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Address Line | 2290 EAST AVE
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City | ROCHESTER
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State | NY
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Zip | 14610-2518
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Country | US
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Telephone | 585-309-1284
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Fax |
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Provider Business Mailing Address
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Address Line | 210 INWOOD DR
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City | ROCHESTER
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State | NY
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Zip | 14625-1909
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. GREGORY SEEGER
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Credential | MD
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Telephone | 585-309-1284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 127442
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License Number State | NY
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