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General NPI Number Information
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NPI Number | 1780545343
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Entity Type | Individual
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Provider Name | KATHRYN MARIE WILBUR NP
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Gender | Female
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Dates
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Enumeration Date | 11/21/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 1561 LONG POND RD
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City | ROCHESTER
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State | NY
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Zip | 14626-4117
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Country | US
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Telephone | 585-922-4020
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Fax |
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Provider Business Mailing Address
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Address Line | 1523 STOWELL DR
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City | ROCHESTER
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State | NY
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Zip | 14616-1891
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Country | US
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Telephone | 585-831-2485
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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 | F358193-01
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License Number State | NY
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