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General NPI Number Information
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NPI Number | 1144655432
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Entity Type | Individual
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Provider Name | DANIELLE BELLUCCI NP-C
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Gender | Female
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Dates
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Enumeration Date | 09/05/2013
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Last Update Date | 02/14/2026
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Provider Practice Location Address
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Address Line | 5954 ROUTE 25A
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City | WADING RIVER
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State | NY
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Zip | 11792-2001
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Country | US
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Telephone | 934-213-4309
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Fax | 631-865-5953
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Provider Business Mailing Address
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Address Line | 5954 ROUTE 25A
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City | WADING RIVER
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State | NY
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Zip | 11792-2001
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Country | US
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Telephone | 934-213-4309
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Fax | 631-865-5953
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 306627
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License Number State | NY
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