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General NPI Number Information
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NPI Number | 1063395622
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Entity Type | Individual
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Provider Name | MARY RACHEL WESTERFIELD FNP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2025
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 100 JOHN ROEMMELT DR STE 302
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City | HORSEHEADS
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State | NY
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Zip | 14845-8304
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Country | US
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Telephone | 607-873-1810
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Fax | 607-562-3157
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Provider Business Mailing Address
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Address Line | 600 IVY ST STE 206
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City | ELMIRA
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State | NY
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Zip | 14905-1627
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Country | US
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Telephone | 607-271-2050
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Fax | 607-271-2071
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 357408
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License Number State | NY
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