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General NPI Number Information
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NPI Number | 1922660513
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Entity Type | Individual
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Provider Name | IRINA ELENA GULEREZ DMD
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Gender | Female
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Dates
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Enumeration Date | 07/03/2019
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 1000 TRANSIT WAY STE 200
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City | BROCKPORT
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State | NY
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Zip | 14420-3008
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Country | US
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Telephone | 585-636-0555
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Fax |
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Provider Business Mailing Address
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Address Line | 1600 EAST AVE APT 1007
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City | ROCHESTER
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State | NY
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Zip | 14610-1632
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Country | US
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Telephone | 585-957-0981
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 061224
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License Number State | NY
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