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General NPI Number Information
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NPI Number | 1164814315
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Entity Type | Individual
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Provider Name | SIENA LECORP FNP
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Gender | Female
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Dates
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Enumeration Date | 02/25/2015
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | ATRIA 36 E 57TH STREET 5TH FL
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City | NEW YORK
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State | NY
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Zip | 10022
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Country | US
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Telephone | 212-600-2000
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Fax | 212-540-0856
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Provider Business Mailing Address
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Address Line | PO BOX 36363 NEWARK NJ 07188 PHONE
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City | NEWARK
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State | NJ
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Zip | 07188-0001
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Country | US
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Telephone | 845-651-1400
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Fax | 845-294-3758
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 345539
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License Number State | NY
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