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General NPI Number Information
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NPI Number | 1821383449
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Entity Type | Individual
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Provider Name | REBECCA REPOVSCH TOPHAM FNP-BC, ENP-C
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Gender | Female
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Dates
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Enumeration Date | 06/10/2011
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Last Update Date | 12/11/2025
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Provider Practice Location Address
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Address Line | 140 BURWELL ST
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City | LITTLE FALLS
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State | NY
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Zip | 13365-1725
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Country | US
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Telephone | 315-823-1000
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Fax | 315-823-4760
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Provider Business Mailing Address
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Address Line | 1 ATWELL RD
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City | COOPERSTOWN
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State | NY
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Zip | 13326-1394
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 336778
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License Number State | NY
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