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General NPI Number Information
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NPI Number | 1033086798
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Entity Type | Organization
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Legal Business Name | DB WELLNESS CARE NP IN FAMILY HEALTH PLLC
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Dates
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Enumeration Date | 10/18/2025
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 230 HILTON AVE STE 4
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City | HEMPSTEAD
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State | NY
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Zip | 11550-8116
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Country | US
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Telephone | 516-402-0191
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Fax | 516-232-9534
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Provider Business Mailing Address
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Address Line | 31 COVERT AVE # 1030
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City | FLORAL PARK
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State | NY
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Zip | 11001-3216
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Country | US
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Telephone | 516-401-0194
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Fax | 516-232-9534
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Authorized Official
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Title or Position | MANAGER
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Name | DWAYNE BLAKE
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Credential | NP
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Telephone | 516-402-0194
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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