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General NPI Number Information
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NPI Number | 1851893770
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Entity Type | Individual
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Provider Name | JILL S. UBER NP
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Gender | Female
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Dates
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Enumeration Date | 03/07/2018
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Last Update Date | 09/26/2018
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Provider Practice Location Address
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Address Line | 152 FOOTE AVENUE
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City | JAMESTOWN
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State | NY
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Zip | 14701
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Country | US
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Telephone | 716-664-5290
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Fax | 716-664-7630
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Provider Business Mailing Address
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Address Line | 152 FOOTE AVENUE
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City | JAMESTOWN
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State | NY
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Zip | 14701
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Country | US
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Telephone | 716-664-5290
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Fax | 716-664-7630
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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 | 342713
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License Number State | NY
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