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General NPI Number Information
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NPI Number | 1578343448
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Entity Type | Individual
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Provider Name | JENNIFER LUPPINO FNP-C
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Gender | Female
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Dates
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Enumeration Date | 09/29/2023
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 2157 MAIN ST FL 4
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City | BUFFALO
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State | NY
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Zip | 14214-2692
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Country | US
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Telephone | 716-862-2590
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Fax | 716-961-3783
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Provider Business Mailing Address
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Address Line | 2157 MAIN ST
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City | BUFFALO
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State | NY
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Zip | 14214-2648
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Country | US
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Telephone | 716-327-1733
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 27885
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License Number State | SC
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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 | 355408
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License Number State | NY
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