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General NPI Number Information
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NPI Number | 1437040094
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Entity Type | Individual
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Provider Name | JOSEPH GIACCIO DNP, CRNA, AGACNP
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Gender | Male
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Dates
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Enumeration Date | 07/11/2025
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 160 N MIDLAND AVE
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City | NYACK
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State | NY
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Zip | 10960-1998
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Country | US
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Telephone | 908-578-1866
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Fax |
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Provider Business Mailing Address
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Address Line | 201 RICHARD ST
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City | CRANFORD
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State | NJ
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Zip | 07016-2520
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Country | US
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Telephone |
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 433462
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 730764
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 26NJ15455600
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License Number State | NJ
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