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NPI 1588588651

NPI 1588588651 : DEANNA DESIMONE LLC : NIAGARA FALLS, NY

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General NPI Number Information
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    NPI Number           |    1588588651
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    Entity Type          |    Organization 
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    Legal Business Name  |    DEANNA DESIMONE LLC 
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Dates
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    Enumeration Date     |    08/10/2026
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    Last Update Date     |    08/10/2026
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Provider Practice Location Address
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    Address Line         |    1126 JAMES AVE 
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    City                 |    NIAGARA FALLS
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    State                |    NY
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    Zip                  |    14305-1130
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    Country              |    US
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    Telephone            |    716-531-3805
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    Fax                  |    716-531-3805
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Provider Business Mailing Address
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    Address Line         |    1126 JAMES AVE 
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    City                 |    NIAGARA FALLS
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    State                |    NY
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    Zip                  |    14305-1130
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    Country              |    US
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    Telephone            |    716-531-3805
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    Fax                  |    716-531-3805
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Authorized Official
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    Title or Position    |    OWNER/ SERVICE COORDINATOR
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    Name                 |     DEANNA  DESIMONE 
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    Credential           |    
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    Telephone            |    716-531-3805
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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    License Number       |    
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    License Number State |    
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