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General NPI Number Information
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NPI Number | 1598595480
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Entity Type | Individual
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Provider Name | JILLIAN KENDRICK FNP-C
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Gender | Female
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Dates
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Enumeration Date | 08/05/2024
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 33 E SCHUYLER ST
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City | OSWEGO
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State | NY
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Zip | 13126-1161
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Country | US
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Telephone | 315-343-6974
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Fax | 315-342-3625
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Provider Business Mailing Address
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Address Line | 2681 DUNBAR WOODS RD
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City | MARCELLUS
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State | NY
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Zip | 13108-9703
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Country | US
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Telephone | 845-423-3305
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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 | 354248
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License Number State | NY
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