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General NPI Number Information
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NPI Number | 1386349504
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Entity Type | Organization
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Legal Business Name | DANIELLE CIANCARELLI NP IN PSYCHIATRY, PLLC
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Dates
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Enumeration Date | 04/05/2023
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Last Update Date | 04/05/2023
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Provider Practice Location Address
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Address Line | 200 BROADHOLLOW RD
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City | MELVILLE
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State | NY
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Zip | 11747-4846
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Country | US
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Telephone | 631-885-1929
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Fax |
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Provider Business Mailing Address
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Address Line | 29 AUTUMN DR
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City | HAUPPAUGE
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State | NY
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Zip | 11788-1046
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Country | US
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Telephone | 631-885-1929
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Fax |
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Authorized Official
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Title or Position | PSYCHIATRIC NURSE PRACTITIONER
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Name | MISS DANIELLE MARIE CIANCARELLI
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Credential | PMHNP-BC
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Telephone | 631-885-1929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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