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General NPI Number Information
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NPI Number | 1114526860
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Entity Type | Individual
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Provider Name | JENNIFFER L TUTTLE PHD, RN, CHPN, CNE
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Gender | Female
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Dates
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Enumeration Date | 10/23/2020
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Last Update Date | 01/21/2026
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Provider Practice Location Address
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Address Line | 3325 MARVIN SANDS DR
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City | CANANDAIGUA
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State | NY
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Zip | 14424-8405
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Country | US
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Telephone | 585-785-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3675 PINE HILL RD
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City | CORNING
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State | NY
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Zip | 14830-9742
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Country | US
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Telephone | 585-785-1000
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 588811
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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