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General NPI Number Information
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NPI Number | 1679415954
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Entity Type | Individual
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Provider Name | NICOLETTE MACCHIO
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Gender | Female
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 515 SWEET HOLLOW RD
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City | MELVILLE
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State | NY
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Zip | 11747-2007
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Country | US
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Telephone | 631-592-3750
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Fax |
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Provider Business Mailing Address
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Address Line | 19 TALON WAY
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City | DIX HILLS
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State | NY
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Zip | 11746-6238
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 031055
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License Number State | NY
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