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General NPI Number Information
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NPI Number | 1235314352
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Entity Type | Individual
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Provider Name | GERALDINE A ABBATIELLO PHD, GNP, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 01/08/2008
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Last Update Date | 08/20/2008
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Provider Practice Location Address
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Address Line | 1 S GREELEY AVE
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City | CHAPPAQUA
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State | NY
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Zip | 10514-3346
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Country | US
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Telephone | 914-238-0045
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Fax |
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Provider Business Mailing Address
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Address Line | 12 SHERIDAN DR
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City | PAWLING
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State | NY
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Zip | 12564-1031
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Country | US
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Telephone | 845-855-1508
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | F340153
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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 | 40 400749
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License Number State | NY
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