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General NPI Number Information
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NPI Number | 1669539698
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Entity Type | Individual
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Provider Name | DOROTHY MAY TOURTUAL RN, FNP,GNP
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Gender | Female
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 200 PLAZA DR SUITE B
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City | VESTAL
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State | NY
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Zip | 13850-3680
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Country | US
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Telephone | 607-729-2777
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Fax | 607-729-2773
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Provider Business Mailing Address
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Address Line | 420 WESTERN HEIGHTS BLVD
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City | ENDICOTT
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State | NY
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Zip | 13760-3762
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Country | US
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Telephone | 607-748-5575
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Fax | 607-729-2773
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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 | F333491-1
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License Number State | NY
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