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General NPI Number Information
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NPI Number | 1952361230
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Entity Type | Individual
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Provider Name | HAROLD S ROSS MD
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Gender | Male
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 07/07/2023
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Provider Practice Location Address
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Address Line | 738 PRE EMPTION RD
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City | GENEVA
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State | NY
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Zip | 14456-1336
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Country | US
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Telephone | 315-789-4922
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Fax | 315-789-1791
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Provider Business Mailing Address
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Address Line | 601 ELMWOOD AVE BOX 659
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City | ROCHESTER
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State | NY
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Zip | 14642-0001
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Country | US
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Telephone | 315-789-4922
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Fax | 315-789-1791
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 127211
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 127211
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License Number State | NY
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