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General NPI Number Information
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NPI Number | 1548173644
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Entity Type | Organization
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Legal Business Name | JENNA PAWLOSKI, FAMILY HEALTH NURSE PRACTITIONER, PLLC
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 3033 EAST AVE STE 3
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City | CENTRAL SQUARE
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State | NY
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Zip | 13036-2677
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Country | US
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Telephone | 315-507-1062
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Fax |
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Provider Business Mailing Address
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Address Line | 8199 OLD SUNRIDGE DR
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City | MANLIUS
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State | NY
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Zip | 13104-2213
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Country | US
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Telephone | 315-507-1062
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNA PAWLOSKI
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Credential | NP
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Telephone | 315-507-1062
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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 | NULL
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