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General NPI Number Information
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NPI Number | 1538188289
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Entity Type | Individual
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Provider Name | SHELDON D FIELDS PHD, FNP
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Gender | Male
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Dates
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Enumeration Date | 07/19/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 322 LAKE AVE
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City | ROCHESTER
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State | NY
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Zip | 14608-1017
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Country | US
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Telephone | 585-672-1714
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Fax | 585-295-6009
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Provider Business Mailing Address
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Address Line | 480 GENESEE ST
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City | ROCHESTER
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State | NY
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Zip | 14611-3634
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Country | US
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Telephone | 585-672-1714
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Fax | 585-295-6009
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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 | F332801
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License Number State | NY
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