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General NPI Number Information
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NPI Number | 1093107120
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Entity Type | Organization
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Legal Business Name | CARRIE VANGROL FAMILY HEALTH NP PLLC
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Dates
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Enumeration Date | 02/26/2015
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Last Update Date | 11/02/2022
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Provider Practice Location Address
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Address Line | 425 N MAIN ST
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City | WARSAW
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State | NY
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Zip | 14569-1022
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Country | US
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Telephone | 585-786-0333
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Fax | 585-786-0336
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Provider Business Mailing Address
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Address Line | 425 N MAIN ST
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City | WARSAW
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State | NY
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Zip | 14569-1022
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Country | US
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Telephone | 585-786-0333
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Fax | 585-786-0336
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MS. CARRIE M VANGROL
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Credential | NP
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Telephone | 585-786-0333
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 334036
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License Number State | NY
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