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General NPI Number Information
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NPI Number | 1700678661
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Entity Type | Individual
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Provider Name | DANIEL CHALHON RN, PMHNP-STUDENT
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Gender | Male
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Dates
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Enumeration Date | 05/19/2025
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 1180 6TH AVE
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City | NEW YORK
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State | NY
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Zip | 10036-8401
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Country | US
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Telephone | 917-923-0569
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Fax |
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Provider Business Mailing Address
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Address Line | 2208 NATIONAL DR
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City | BROOKLYN
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State | NY
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Zip | 11234-6801
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Country | US
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Telephone | 646-500-1946
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 873739
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License Number State | NY
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