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General NPI Number Information
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NPI Number | 1568184372
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Entity Type | Organization
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Legal Business Name | THERESA SETTER NP FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 09/19/2022
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Last Update Date | 12/30/2024
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Provider Practice Location Address
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Address Line | 516 E GENESEE ST
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1537
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Country | US
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Telephone | 315-251-1234
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Fax | 315-251-1144
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Provider Business Mailing Address
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Address Line | 516 E GENESEE ST
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1537
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Country | US
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Telephone | 315-251-1234
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Fax | 315-251-1144
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Authorized Official
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Title or Position | CEO
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Name | THERESA M. SETTER
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Credential | APRN-BC
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Telephone | 315-251-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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Taxonomy #2
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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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