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General NPI Number Information
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NPI Number | 1144470709
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Entity Type | Individual
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Provider Name | JENNA LINDSAY GOLDSMITH NP
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Gender | Female
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Dates
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Enumeration Date | 09/19/2008
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Last Update Date | 08/13/2015
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Provider Practice Location Address
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Address Line | 30 N UNION RD SUITE 101
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5367
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Country | US
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Telephone | 716-633-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 22 WILLOW BREEZE RD
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City | TONAWANDA
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State | NY
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Zip | 14223-1313
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Country | US
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Telephone | 716-839-2745
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | 420892
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License Number State | NY
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