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General NPI Number Information
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NPI Number | 1285525626
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Entity Type | Individual
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Provider Name | DIANNE COLLAZO RN
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Gender | Female
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 265 BROADHOLLOW RD STE 201
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City | MELVILLE
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State | NY
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Zip | 11747-4833
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Country | US
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Telephone | 914-216-7585
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Fax |
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Provider Business Mailing Address
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Address Line | 17 OAKWOOD ST
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City | BLUE POINT
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State | NY
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Zip | 11715-1115
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Country | US
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Telephone | 631-252-4338
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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 | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | 433785-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 433785-01
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 163WI0500X
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Taxonomy Name | Infusion Therapy Registered Nurse
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License Number | 433785
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License Number State | NY
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