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General NPI Number Information
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NPI Number | 1043151160
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Entity Type | Organization
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Legal Business Name | LANCASTER WELLNESS NP IN ADULT HEALTH PLLC
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Dates
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Enumeration Date | 04/02/2026
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Last Update Date | 04/02/2026
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Provider Practice Location Address
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Address Line | 41 JEFFERSON RD
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City | FARMINGDALE
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State | NY
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Zip | 11735-2207
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Country | US
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Telephone | 516-522-0085
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Fax |
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Provider Business Mailing Address
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Address Line | 41 JEFFERSON RD
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City | FARMINGDALE
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State | NY
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Zip | 11735-2207
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Country | US
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Telephone | 860-490-2020
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DEBBIE-ANN KATHEEN ELLINGTON-TULLOCH
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Credential | NP-C
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Telephone | 860-490-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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