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General NPI Number Information
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NPI Number | 1861349797
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Entity Type | Organization
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Legal Business Name | JENNIFER TIBBENS-SCALZO, MD, PLLC; DBA: TIBBENS FAMILY MEDICINE
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Dates
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Enumeration Date | 03/11/2026
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Last Update Date | 03/11/2026
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Provider Practice Location Address
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Address Line | 1150 CROSSPOINTE LN STE 1B
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City | WEBSTER
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State | NY
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Zip | 14580-2995
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Country | US
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Telephone | 585-667-5750
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Fax | 585-378-3490
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Provider Business Mailing Address
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Address Line | 1150 CROSSPOINTE LN STE 1B
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City | WEBSTER
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State | NY
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Zip | 14580-2995
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Country | US
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Telephone | 585-667-5750
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Fax | 585-378-3490
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | JENNIFER L TIBBENS-SCALZO
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Credential | MD
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Telephone | 585-755-1519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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