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General NPI Number Information
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NPI Number | 1780990143
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Entity Type | Individual
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Provider Name | JESSICA RENEE RAYMOND NP
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Gender | Female
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 04/04/2017
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Provider Practice Location Address
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Address Line | 10-42 MITCHELL AVE KREMBS 1
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City | BINGHAMTON
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State | NY
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Zip | 13903
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Country | US
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Telephone | 607-762-2990
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Fax | 607-762-2639
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Provider Business Mailing Address
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Address Line | 33 LEWIS RD 2ND FLOOR
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City | BINGHAMTON
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State | NY
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Zip | 13905
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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 |
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 401324
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License Number State | NY
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