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General NPI Number Information
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NPI Number | 1871388066
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Entity Type | Individual
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Provider Name | JESSICA TELFER FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 04/10/2025
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 42 W MAIN ST
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City | OWEGO
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State | NY
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Zip | 13827-1578
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Country | US
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Telephone | 607-972-3737
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Fax |
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Provider Business Mailing Address
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Address Line | 2912 CHESTNUT RIDGE RD
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City | APALACHIN
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State | NY
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Zip | 13732-2058
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Country | US
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Telephone | 607-972-3737
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | F355889-01
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License Number State | NY
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