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General NPI Number Information
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NPI Number | 1891334900
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Entity Type | Organization
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Legal Business Name | LINCOLNS HEART & ASSOCIATES INC
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Dates
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Enumeration Date | 01/06/2020
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Last Update Date | 01/06/2020
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Provider Practice Location Address
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Address Line | 103 NORTH AVE
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City | WEBSTER
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State | NY
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Zip | 14580-3009
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Country | US
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Telephone | 585-410-3660
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Fax |
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Provider Business Mailing Address
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Address Line | 34 GRAVEL HILL LN
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City | HONEOYE FALLS
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State | NY
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Zip | 14472-9022
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Country | US
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Telephone | 585-410-3660
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Fax | 585-872-3238
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JUDIANNE CYNTHIA SLISH
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Credential | PHARM.D.
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Telephone | 585-415-7258
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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