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General NPI Number Information
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NPI Number | 1295707065
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Entity Type | Individual
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Provider Name | SANDRA CHENELLY N.P.
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Gender | Female
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Dates
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Enumeration Date | 02/06/2006
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Last Update Date | 11/24/2010
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Provider Practice Location Address
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Address Line | 222 RICHMOND AVE
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City | BATAVIA
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State | NY
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Zip | 14020-1227
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Country | US
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Telephone | 585-297-1290
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Fax |
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Provider Business Mailing Address
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Address Line | 13045 HANLON RD
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City | ALBION
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State | NY
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Zip | 14411-9058
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Country | US
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Telephone | 585-682-0103
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340349
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License Number State | NY
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