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General NPI Number Information
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NPI Number | 1003378845
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Entity Type | Individual
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Provider Name | DANIEL VILLON PENEYRA MD, MHA
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Gender | Male
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Dates
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Enumeration Date | 04/02/2019
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Last Update Date | 02/05/2024
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Provider Practice Location Address
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Address Line | 670 STONELEIGH AVE
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City | CARMEL
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State | NY
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Zip | 10512-3997
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Country | US
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Telephone | 845-279-5711
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Fax |
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Provider Business Mailing Address
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Address Line | 670 STONELEIGH AVE
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City | CARMEL
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State | NY
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Zip | 10512-3997
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Country | US
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Telephone | 845-279-5711
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 76037
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 315675
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 76037
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License Number State | CT
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Taxonomy #4
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 315675
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License Number State | NY
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