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General NPI Number Information
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NPI Number | 1912378407
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Entity Type | Individual
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Provider Name | KRISTEN RESETAR FNP
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Gender | Female
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Dates
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Enumeration Date | 10/09/2015
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 30 HAGEN DR STE 230
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City | ROCHESTER
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State | NY
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Zip | 14625-2658
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Country | US
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Telephone | 585-381-0140
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Fax | 585-381-0582
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Provider Business Mailing Address
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Address Line | 52 SUTTON PT
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City | PITTSFORD
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State | NY
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Zip | 14534-4617
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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 | F346629-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 6960421
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License Number State | NY
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