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General NPI Number Information
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NPI Number | 1245560358
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Entity Type | Individual
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Provider Name | ROSEANNE THERESA BRINDISI FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/12/2010
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Last Update Date | 11/04/2016
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Provider Practice Location Address
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Address Line | 2206 GENESEE STREET ALLERGY CARE PLLC
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City | UTICA
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State | NY
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Zip | 13502
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Country | US
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Telephone | 215-624-7911
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Fax | 315-738-7715
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Provider Business Mailing Address
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Address Line | 2206 GENESEE STREET ALLERGY CARE PLLC
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City | UTICA
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State | NY
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Zip | 13502
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Country | US
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Telephone | 215-624-7911
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Fax | 315-738-7715
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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 | F334380-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 334380
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 334380
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | 334380
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License Number State | NY
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