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NPI 1285064600

NPI 1285064600 : KATHRYN STRONG LPN : ROCHESTER, NY

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General NPI Number Information
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    NPI Number           |    1285064600
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    Entity Type          |    Individual 
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    Provider Name        |    KATHRYN STRONG LPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/21/2013
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    Last Update Date     |    11/21/2013
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Provider Practice Location Address
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    Address Line         |    713 PARK AVE APT 3
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    City                 |    ROCHESTER
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    State                |    NY
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    Zip                  |    14607-3033
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    Country              |    US
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    Telephone            |    315-447-4042
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    532 TILDEN ST 
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    City                 |    ONEIDA
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    State                |    NY
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    Zip                  |    13421-2333
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    Country              |    US
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    Telephone            |    315-447-4042
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    306490
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    License Number State |    NY
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