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NPI 1952326845

NPI 1952326845 : ZIAD H RIFAI MD : GENEVA, NY

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General NPI Number Information
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    NPI Number           |    1952326845
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    Entity Type          |    Individual 
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    Provider Name        |    ZIAD H RIFAI MD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    05/17/2010
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Provider Practice Location Address
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    Address Line         |    200 NORTH ST SUITE 302
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    City                 |    GENEVA
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    State                |    NY
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    Zip                  |    14456-1561
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    Country              |    US
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    Telephone            |    315-787-5377
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    Fax                  |    315-787-5374
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Provider Business Mailing Address
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    Address Line         |    199 PARRISH ST 
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    City                 |    CANANDAIGUA
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    State                |    NY
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    Zip                  |    14424-1788
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    Country              |    US
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    Telephone            |    585-394-6811
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    Fax                  |    585-394-7497
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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        |    2084N0400X
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    Taxonomy Name        |    Neurology Physician
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    License Number       |    196939
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    License Number State |    NY
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