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General NPI Number Information
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NPI Number | 1447120738
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Entity Type | Individual
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Provider Name | ALYSSA LYNN MULLANE
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Gender | Female
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 228 ALBOURNE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3033
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Country | US
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Telephone | 917-557-1364
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Fax |
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Provider Business Mailing Address
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Address Line | 228 ALBOURNE AVE
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City | STATEN ISLAND
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State | NY
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Zip | 10309-3033
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F358113-01
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License Number State | NY
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