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General NPI Number Information
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NPI Number | 1568588929
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Entity Type | Individual
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Provider Name | AMY LYNNE STEVENS FNP-C
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 04/20/2021
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Provider Practice Location Address
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Address Line | 127 NORTH ST
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City | BATAVIA
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State | NY
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Zip | 14020-1631
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Country | US
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Telephone | 585-343-6030
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Fax | 585-344-7434
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Provider Business Mailing Address
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Address Line | 6443 BYRON HOLLEY RD
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City | BYRON
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State | NY
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Zip | 14422-9518
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Country | US
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Telephone | 585-356-3354
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Fax | 585-548-7365
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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 | F331075
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License Number State | NY
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