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General NPI Number Information
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NPI Number | 1063171437
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Entity Type | Individual
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Provider Name | GAELLE DENNERY
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Gender | Female
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Dates
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Enumeration Date | 12/14/2021
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 3305 FOSTER AVE
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City | BROOKLYN
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State | NY
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Zip | 11210-6407
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Country | US
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Telephone | 123-456-7890
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Fax |
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Provider Business Mailing Address
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Address Line | 338 VAN NOSTRAND AVE
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City | JERSEY CITY
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State | NJ
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Zip | 07305-1309
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Country | US
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Telephone | 347-285-1565
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 709444
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License Number State | NY
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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 | 404697
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License Number State | NY
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