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General NPI Number Information
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NPI Number | 1508708363
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Entity Type | Individual
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Provider Name | EMILY COLLETTI BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 04/08/2026
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Last Update Date | 04/08/2026
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Provider Practice Location Address
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Address Line | 26 BEAUMONT LN
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City | LAKE GROVE
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State | NY
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Zip | 11755-2704
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Country | US
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Telephone | 570-801-1625
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Fax |
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Provider Business Mailing Address
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Address Line | 26 BEAUMONT LN
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City | LAKE GROVE
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State | NY
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Zip | 11755-2704
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Country | US
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Telephone | 570-801-1625
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 888650
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License Number State | NY
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