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General NPI Number Information
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NPI Number | 1427694884
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Entity Type | Individual
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Provider Name | AMY MAYFIELD MSN, FNP-C
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Gender | Female
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Dates
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Enumeration Date | 11/20/2019
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 777 CLINTON AVE S
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City | ROCHESTER
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State | NY
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Zip | 14620-1448
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Country | US
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Telephone | 585-279-4780
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Fax |
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Provider Business Mailing Address
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Address Line | 83 TIMBER BROOK LN
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City | PENFIELD
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State | NY
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Zip | 14526-1113
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Country | US
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Telephone | 585-944-8884
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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 | 346319
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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 | 346319
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WS0200X
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Taxonomy Name | School Registered Nurse
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License Number | 462583-1
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License Number State | NY
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