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General NPI Number Information
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NPI Number | 1942727011
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Entity Type | Organization
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Legal Business Name | WESTERN NEW YORK MEDICAL PRACTICE P.C
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Dates
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Enumeration Date | 08/29/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 300 WHITE SPRUCE BLVD STE 200
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City | ROCHESTER
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State | NY
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Zip | 14623-1606
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Country | US
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Telephone | 585-424-6770
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Fax |
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Provider Business Mailing Address
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Address Line | 300 WHITE SPRUCE BLVD STE 200
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City | ROCHESTER
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State | NY
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Zip | 14623-1606
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Country | US
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Telephone | 585-424-6770
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Fax |
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Authorized Official
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Title or Position | SVP
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Name | PAULA TINCH
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Credential |
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Telephone | 585-922-1223
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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 |
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License Number State |
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