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General NPI Number Information
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NPI Number | 1609849215
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Entity Type | Individual
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Provider Name | JAMES JASON CONLEY NP
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Gender | Male
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Dates
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Enumeration Date | 02/13/2006
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Last Update Date | 12/06/2021
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Provider Practice Location Address
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Address Line | 295 ESSJAY RD
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-8216
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Country | US
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Telephone | 716-630-1050
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Fax | 716-250-5925
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Provider Business Mailing Address
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Address Line | 425 ESSJAY RD STE 170
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City | WILLIAMSVILLE
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State | NY
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Zip | 14221-5782
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Country | US
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Telephone | 716-630-1000
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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 | F334090
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F334090
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F334090
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License Number State | NY
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