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General NPI Number Information
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NPI Number | 1851210413
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Entity Type | Individual
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Provider Name | JENNIFER ROSE ONEILL LPN
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Gender | Female
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Dates
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Enumeration Date | 07/15/2026
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Last Update Date | 07/15/2026
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Provider Practice Location Address
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Address Line | 12 TOWPATH LN
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City | WATERFORD
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State | NY
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Zip | 12188-4006
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Country | US
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Telephone | 518-596-0017
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Fax |
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Provider Business Mailing Address
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Address Line | 1906 LOOKOUT LN
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City | HALFMOON
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State | NY
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Zip | 12065-8812
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Country | US
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Telephone | 518-364-3858
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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 | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number | 232305-01
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License Number State | NY
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