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General NPI Number Information
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NPI Number | 1770716318
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Entity Type | Individual
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Provider Name | MONICA JEANNE ACOMB 38382089
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Gender | Female
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Dates
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Enumeration Date | 08/31/2009
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Last Update Date | 07/03/2023
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Provider Practice Location Address
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Address Line | 313 N MAIN ST
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City | WELLSVILLE
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State | NY
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Zip | 14895-1016
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Country | US
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Telephone | 585-596-4115
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Fax |
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Provider Business Mailing Address
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Address Line | 1889 STATE ROUTE 248A
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City | WHITESVILLE
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State | NY
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Zip | 14897-9739
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Country | US
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Telephone | 607-356-3694
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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 | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 382089
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 38 382089
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License Number State | NY
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