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General NPI Number Information
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NPI Number | 1508178484
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Entity Type | Individual
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Provider Name | LISA J. PAPPA PMH-NP
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Gender | Female
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 07/08/2010
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Provider Practice Location Address
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Address Line | 4887 STATE ROUTE 96A HILLSIDE CHILDRENS CENTER
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City | ROMULUS
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State | NY
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Zip | 14541-9767
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Country | US
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Telephone | 315-585-3000
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Fax |
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Provider Business Mailing Address
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Address Line | 7945 SHIRE LN
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City | VICTOR
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State | NY
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Zip | 14564-8732
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Country | US
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Telephone | 585-398-7505
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | F401247-1
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License Number State | NY
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