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General NPI Number Information
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NPI Number | 1073260402
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Entity Type | Individual
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Provider Name | LANDYN RAE SPRAGUE
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Gender | Female
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Dates
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Enumeration Date | 03/06/2022
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Last Update Date | 07/17/2023
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Provider Practice Location Address
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Address Line | 1835 FAIRPORT NINE MILE POINT RD
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City | PENFIELD
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State | NY
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Zip | 14526-1903
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Country | US
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Telephone | 585-758-0777
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Fax |
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Provider Business Mailing Address
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Address Line | 1835 FAIRPORT NINE MILE POINT RD
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City | PENFIELD
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State | NY
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Zip | 14526-1903
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Country | US
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Telephone | 585-758-0777
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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 | 349058
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License Number State | NY
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