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General NPI Number Information
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NPI Number | 1659224939
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Entity Type | Organization
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Legal Business Name | THRIVE WELL NP IN ADULT HEALTH PLLC
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Dates
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Enumeration Date | 02/17/2026
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Last Update Date | 02/17/2026
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Provider Practice Location Address
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Address Line | 4949 HARLEM RD
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City | AMHERST
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State | NY
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Zip | 14226-2500
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Country | US
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Telephone | 716-603-1737
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Fax |
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Provider Business Mailing Address
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Address Line | 3880 SHERIDAN DRIVE STE 390
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City | AMHERST
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State | NY
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Zip | 14226
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | NP
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Name | MARJA CORMACK-PRICE
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Credential |
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Telephone | 716-603-1737
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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