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General NPI Number Information
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NPI Number | 1295607778
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Entity Type | Organization
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Legal Business Name | EAGLE PSYCH LLC
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Dates
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Enumeration Date | 09/23/2025
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 86 HAMILTON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1609
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Country | US
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Telephone | 929-768-4099
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Fax |
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Provider Business Mailing Address
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Address Line | 86 HAMILTON AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1609
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Country | US
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Telephone | 929-768-4099
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Fax |
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Authorized Official
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Title or Position | PRACTICE OWNER
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Name | DAVID ALABI
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Credential | DNP
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Telephone | 732-433-5871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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