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General NPI Number Information
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NPI Number | 1073211496
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Entity Type | Individual
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Provider Name | AMY JENNINGS
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Gender | Female
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Dates
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Enumeration Date | 02/16/2023
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 833 CANANDAIGUA RD
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City | GENEVA
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State | NY
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Zip | 14456-2015
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Country | US
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Telephone | 315-787-5200
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Fax |
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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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 |
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 032714
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License Number State | NY
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