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General NPI Number Information
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NPI Number | 1982644266
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Entity Type | Organization
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Legal Business Name | ANDREW J. LAFRANCE
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 20 TROUT LAKE ROAD
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City | EDWARDS
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State | NY
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Zip | 13635-0031
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Country | US
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Telephone | 315-562-3111
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Fax | 315-562-2111
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Provider Business Mailing Address
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Address Line | PO BOX 31
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City | EDWARDS
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State | NY
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Zip | 13635-0031
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Country | US
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Telephone | 315-562-3111
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Fax | 315-562-2111
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MR. ANDREW JOHN LAFRANCE
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Credential | FNP
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Telephone | 315-562-3111
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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 | F331451
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License Number State | NY
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