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General NPI Number Information
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NPI Number | 1255575379
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Entity Type | Individual
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Provider Name | LISA J DOWNING-FORGET MD
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Gender | Female
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 140 HOSPITAL DR STE 108
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City | BENNINGTON
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State | VT
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Zip | 05201-5010
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Country | US
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Telephone | 802-447-5519
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Fax |
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Provider Business Mailing Address
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Address Line | 105 CANAL LANDING BLVD SUITE 1
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City | ROCHESTER
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State | NY
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Zip | 14626-5107
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Country | US
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Telephone | 585-368-4050
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 269426
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 269426
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number | 042-0014664
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License Number State | VT
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 042-0014664
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License Number State | VT
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