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General NPI Number Information
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NPI Number | 1730588369
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Entity Type | Individual
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Provider Name | DANIELLE CULLEN FNP PMHNP
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Gender | Female
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Dates
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Enumeration Date | 08/20/2014
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Last Update Date | 11/10/2021
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Provider Practice Location Address
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Address Line | 206 SARATOGA LANE
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City | FISHKILL
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State | NY
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Zip | 12524
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Country | US
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Telephone | 845-590-4624
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Fax |
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Provider Business Mailing Address
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Address Line | 1018 MAIN ST UNIT 163
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City | FISHKILL
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State | NY
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Zip | 12524-7514
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Country | US
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Telephone | 845-590-4624
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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 | 339085
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 403225
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License Number State | NY
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