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General NPI Number Information
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NPI Number | 1962220350
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Entity Type | Individual
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Provider Name | GWENDOLYN QUAIL
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 3300 DEWEY AVE
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City | ROCHESTER
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State | NY
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Zip | 14616-3741
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Country | US
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Telephone | 585-865-1550
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 DEWEY AVE
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City | ROCHESTER
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State | NY
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Zip | 14616-3741
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Country | US
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Telephone |
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Fax |
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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 | 283X00000X
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Taxonomy Name | Rehabilitation Hospital
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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