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General NPI Number Information
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NPI Number | 1932358322
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Entity Type | Organization
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Legal Business Name | VASCULAR SURGERY PARTNERS PC
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 04/09/2009
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Provider Practice Location Address
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Address Line | 75 SUNSET DR SUITE B
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City | NEWARK
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State | NY
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Zip | 14513-1000
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Country | US
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Telephone | 315-359-2661
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Fax | 315-359-2128
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Provider Business Mailing Address
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Address Line | 1445 PORTLAND AVE SUITE 109
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City | ROCHESTER
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State | NY
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Zip | 14621-3036
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Country | US
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Telephone | 585-342-4030
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Fax | 585-922-5430
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KEVIN J GEARY
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Credential | M.D.
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Telephone | 585-342-4030
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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