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General NPI Number Information
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NPI Number | 1942198080
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Entity Type | Individual
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Provider Name | EMMA LINGO FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 06/26/2025
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 3267 STATE ROUTE 11A
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City | NEDROW
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State | NY
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Zip | 13120-4507
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Country | US
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Telephone | 315-469-6449
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Fax |
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Provider Business Mailing Address
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Address Line | 111 CLEVELAND BLVD
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City | FAYETTEVILLE
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State | NY
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Zip | 13066-1101
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Country | US
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Telephone | 315-399-8436
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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 | F356919-01
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License Number State | NY
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