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General NPI Number Information
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NPI Number | 1972369924
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Entity Type | Individual
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Provider Name | ERIN LINDSAY BLACK FNP
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Gender | Female
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Dates
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Enumeration Date | 02/27/2024
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 42082 STATE HIGHWAY 28
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City | MARGARETVILLE
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State | NY
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Zip | 12455-2820
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Country | US
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Telephone | 845-586-3888
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Fax |
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Provider Business Mailing Address
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Address Line | 2304 DENNING RD
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City | CLARYVILLE
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State | NY
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Zip | 12725-5240
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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 | 357743
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License Number State | NY
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