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General NPI Number Information
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NPI Number | 1205545134
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Entity Type | Individual
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Provider Name | DONN ALBANO LMT
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Gender | Male
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Dates
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Enumeration Date | 11/18/2022
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Last Update Date | 08/15/2023
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Provider Practice Location Address
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Address Line | 1324 FOREST AVE STE 212
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City | STATEN ISLAND
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State | NY
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Zip | 10302-2044
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Country | US
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Telephone | 877-480-8038
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20521
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City | STATEN ISLAND
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State | NY
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Zip | 10302-0521
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Country | US
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Telephone | 877-480-8038
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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 | 174N00000X
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Taxonomy Name | Lactation Consultant (Non-RN)
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License Number |
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | 18KT01094600
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License Number State | NJ
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