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General NPI Number Information
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NPI Number | 1437284551
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Entity Type | Individual
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Provider Name | JENNY DELALEU RN, FNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/22/2007
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Last Update Date | 05/31/2024
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Provider Practice Location Address
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Address Line | 294 W MERRICK RD STE 1
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City | FREEPORT
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State | NY
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Zip | 11520-3357
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Country | US
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Telephone | 516-279-5484
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Fax | 516-589-7569
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Provider Business Mailing Address
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Address Line | 294 W MERRICK RD STE 1
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City | FREEPORT
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State | NY
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Zip | 11520-3357
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Country | US
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Telephone | 516-279-5484
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Fax | 516-589-7569
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F334623
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License Number State | NY
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