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General NPI Number Information
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NPI Number | 1477446458
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Entity Type | Organization
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Legal Business Name | GENERATIONS FAMILY HEALTH NPS, PLLC
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Dates
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Enumeration Date | 05/30/2025
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 1617 N JAMES ST STE 700
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City | ROME
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State | NY
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Zip | 13440-2847
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Country | US
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Telephone | 315-542-6754
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Fax |
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Provider Business Mailing Address
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Address Line | 9076 MAIN ST
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City | WESTERNVILLE
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State | NY
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Zip | 13486-2325
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER, CEO
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Name | MS. KRISTIN GALLAGHER
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Credential | FNP
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Telephone | 315-542-6754
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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 |
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License Number State |
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