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General NPI Number Information
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NPI Number | 1891412540
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Entity Type | Individual
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Provider Name | MARLENE ANN COMFORT NP
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Gender | Female
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Dates
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Enumeration Date | 10/24/2022
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Last Update Date | 10/24/2022
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Provider Practice Location Address
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Address Line | SOLDIERS AND SAILORS HEALTH CENTER 418 NORTH MAIN STREET
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City | PENN YAN
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State | NY
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Zip | 14527
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Country | US
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Telephone | 315-536-0086
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Fax | 315-536-0658
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Provider Business Mailing Address
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Address Line | 3222 DELOOZA RD
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City | PENN YAN
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State | NY
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Zip | 14527-9304
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Country | US
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Telephone | 585-698-7706
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 311002
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License Number State | NY
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