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General NPI Number Information
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NPI Number | 1245945609
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Entity Type | Individual
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Provider Name | CARRIN MARIE CLIFFORD FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 01/20/2023
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Last Update Date | 11/02/2025
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Provider Practice Location Address
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Address Line | 60 MAPLE RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-2917
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Country | US
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Telephone | 716-626-5250
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Fax |
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Provider Business Mailing Address
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Address Line | 11 MONA CT
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City | DEPEW
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State | NY
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Zip | 14043-1517
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Country | US
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Telephone | 716-861-1945
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F349881-01
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License Number State | NY
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