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NPI 1619918190

NPI 1619918190 : KAREN JENELLA LEE FNP : BUFFALO, NY

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General NPI Number Information
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    NPI Number           |    1619918190
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    Entity Type          |    Individual 
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    Provider Name        |    KAREN JENELLA LEE FNP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/08/2006
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    Last Update Date     |    11/04/2025
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Provider Practice Location Address
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    Address Line         |    34 BENWOOD AVE 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14214-1761
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    Country              |    US
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    Telephone            |    716-986-9199
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    Fax                  |    716-342-2340
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Provider Business Mailing Address
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    Address Line         |    34 BENWOOD AVE 
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    City                 |    BUFFALO
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    State                |    NY
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    Zip                  |    14214-1761
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    Country              |    US
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    Telephone            |    716-986-9199
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    Fax                  |    716-342-2340
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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       |    F334916
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    License Number State |    NY
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