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General NPI Number Information
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NPI Number | 1053742924
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Entity Type | Organization
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Legal Business Name | HERKIMER FAMILY NURSE PRACTITIONERS PLLC
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Dates
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Enumeration Date | 12/03/2013
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Last Update Date | 12/03/2013
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Provider Practice Location Address
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Address Line | 237 E STEELE ST
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City | HERKIMER
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State | NY
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Zip | 13350-2421
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Country | US
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Telephone | 315-868-0903
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Fax |
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Provider Business Mailing Address
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Address Line | 237 E STEELE ST
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City | HERKIMER
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State | NY
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Zip | 13350-2421
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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 | FNP
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Name | MICHELLE GORSKI
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Credential |
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Telephone | 316-868-0903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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