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General NPI Number Information
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NPI Number | 1669957486
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Entity Type | Individual
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Provider Name | DEBORA ANN PFLUKE FNP
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Gender | Female
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Dates
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Enumeration Date | 09/27/2018
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Last Update Date | 09/27/2018
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Provider Practice Location Address
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Address Line | 1651 ONEIDA ST
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City | UTICA
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State | NY
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Zip | 13501-4866
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Country | US
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Telephone | 793-760-0315
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Fax |
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Provider Business Mailing Address
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Address Line | 7615 E SOUTH ST
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City | CLINTON
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State | NY
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Zip | 13323-3725
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Country | US
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Telephone | 315-534-3123
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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 | F342233
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License Number State | NY
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