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General NPI Number Information
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NPI Number | 1386091445
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Entity Type | Individual
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Provider Name | JESSICA LIPPA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 05/18/2016
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 191 N MAIN ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1150
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Country | US
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Telephone | 585-592-1100
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Fax |
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Provider Business Mailing Address
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Address Line | 1548 WATERWELLS RD
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City | ALFRED STATION
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State | NY
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Zip | 14803-9794
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Country | US
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Telephone | 607-382-1161
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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 | 340286
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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 | F340286-1
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License Number State | NY
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