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General NPI Number Information
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NPI Number | 1679816425
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Entity Type | Individual
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Provider Name | DANIELLE ALYSSA HAMILTON RN
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Gender | Female
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Dates
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Enumeration Date | 03/30/2013
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Last Update Date | 06/14/2026
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Provider Practice Location Address
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Address Line | 35 PORTSIDE DR
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City | HOLBROOK
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State | NY
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Zip | 11741-5814
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Country | US
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Telephone | 631-655-9099
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Fax |
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Provider Business Mailing Address
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Address Line | 35 PORTSIDE DR
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City | HOLBROOK
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State | NY
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Zip | 11741-5814
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Country | US
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Telephone | 631-655-9099
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 668419
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 312868
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License Number State | NY
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