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General NPI Number Information
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NPI Number | 1992858138
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Entity Type | Organization
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Legal Business Name | BARBARA A CONNOR MD & CHESTER L PATRICK JR MD PC
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 04/29/2010
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Provider Practice Location Address
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Address Line | 215 W THOMAS ST
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City | ROME
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State | NY
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Zip | 13440-5018
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Country | US
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Telephone | 315-336-0250
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Fax | 315-336-0919
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Provider Business Mailing Address
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Address Line | 215 W THOMAS ST
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City | ROME
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State | NY
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Zip | 13440-5018
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Country | US
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Telephone | 315-336-0250
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Fax | 315-336-0919
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Authorized Official
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Title or Position | MD
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Name | CHESTER L PATRICK JR.
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Credential | MD
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Telephone | 315-336-0250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | NY155428
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | NY155407
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License Number State | NY
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