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General NPI Number Information
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NPI Number | 1699989871
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Entity Type | Individual
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Provider Name | DANIELLE RACHEL WELL R.N., CRNP
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 06/29/2008
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Provider Practice Location Address
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Address Line | 2000 N VILLAGE AVE SUITE 203
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-1078
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Country | US
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Telephone | 516-763-1717
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Fax |
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Provider Business Mailing Address
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Address Line | 660 EMERSON ST
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City | WOODMERE
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State | NY
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Zip | 11598-2831
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Country | US
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Telephone | 516-569-1393
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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 | SP007301
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 335473
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License Number State | NY
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