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General NPI Number Information
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NPI Number | 1942978838
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Entity Type | Organization
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Legal Business Name | UPSTATE CARE MANAGEMENT SERVICES INC
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Dates
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Enumeration Date | 09/03/2021
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Last Update Date | 09/03/2021
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Provider Practice Location Address
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Address Line | 144 METRO PARK STE 3
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City | ROCHESTER
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State | NY
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Zip | 14623-2653
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Country | US
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Telephone | 585-444-5834
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Fax |
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Provider Business Mailing Address
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Address Line | 144 METRO PARK STE 3
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City | ROCHESTER
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State | NY
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Zip | 14623-2653
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Country | US
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Telephone | 585-444-5834
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Fax |
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Authorized Official
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Title or Position | OWNER AND DIRECTOR
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Name | MR. PADAM GHIMIREY
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Credential |
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Telephone | 585-270-9975
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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