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General NPI Number Information
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NPI Number | 1003705427
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Entity Type | Individual
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Provider Name | JAMIE MASECCHIA DNP, BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 07/01/2025
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 3190 NIAGARA FALLS BLVD
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City | BUFFALO
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State | NY
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Zip | 14228-1639
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Country | US
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Telephone | 716-799-1002
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Fax |
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Provider Business Mailing Address
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Address Line | 6420 BORDINO DR
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City | LOCKPORT
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State | NY
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Zip | 14094-8844
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Country | US
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Telephone | 716-909-5789
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 357728
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License Number State | NY
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