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General NPI Number Information
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NPI Number | 1841195187
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Entity Type | Organization
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Legal Business Name | HELDERBERG HOME TOWN FAMILY HEALTH NP PLLC
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 11370 STATE ROUTE 32
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City | GREENVILLE
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State | NY
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Zip | 12083-3602
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Country | US
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Telephone | 518-626-1062
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Fax |
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Provider Business Mailing Address
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Address Line | 11370 STATE ROUTE 32
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City | GREENVILLE
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State | NY
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Zip | 12083-3602
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Country | US
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Telephone | 518-626-1062
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | FELICIA C ROGERS
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Credential | FNP-BC
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Telephone | 518-626-1062
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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 |
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License Number State | NULL
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