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General NPI Number Information
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NPI Number | 1972494813
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Entity Type | Individual
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Provider Name | CARRIE ANNE TREVISANI FNP
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Gender | Female
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Dates
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Enumeration Date | 07/10/2025
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Last Update Date | 07/10/2025
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Provider Practice Location Address
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Address Line | 357 GENESEE ST STE 1
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City | ONEIDA
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State | NY
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Zip | 13421-2658
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Country | US
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Telephone | 153-638-8623
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Fax | 315-363-3326
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Provider Business Mailing Address
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Address Line | 100 METROPOLITAN PARK DR STE 100
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City | LIVERPOOL
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State | NY
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Zip | 13088-7112
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Country | US
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Telephone | 315-870-9369
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Fax | 315-870-9364
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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 | 357186
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License Number State | NY
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