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General NPI Number Information
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NPI Number | 1457009565
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Entity Type | Individual
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Provider Name | FIONA LAWRENCE FNP
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Gender | Female
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Dates
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Enumeration Date | 03/17/2022
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Last Update Date | 04/22/2024
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Provider Practice Location Address
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Address Line | 800 STONY BROOK CT
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City | NEWBURGH
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State | NY
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Zip | 12550-6526
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Country | US
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Telephone | 845-561-6111
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Fax |
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Provider Business Mailing Address
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Address Line | 9 PINE TREE DR
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City | NEW PALTZ
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State | NY
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Zip | 12561-3116
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Country | US
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Telephone | 845-417-8092
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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 | F349071-01
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License Number State | NY
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