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General NPI Number Information
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NPI Number | 1891655015
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Entity Type | Individual
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Provider Name | ERIC WING
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Gender | Male
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Dates
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Enumeration Date | 11/12/2025
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 3170 CHILI AVE STE T1A
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City | ROCHESTER
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State | NY
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Zip | 14624-5452
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Country | US
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Telephone | 585-571-2025
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Fax | 585-571-2044
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Provider Business Mailing Address
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Address Line | 100 KINGS HWY S
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City | ROCHESTER
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State | NY
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Zip | 14617-5504
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Country | US
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Telephone |
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 358247
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License Number State | NY
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