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General NPI Number Information
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NPI Number | 1730978438
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Entity Type | Individual
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Provider Name | DANIELLA LAMOUR SW
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Gender | Female
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 35 CIRCLE DR W
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City | ELMONT
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State | NY
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Zip | 11003-2134
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Country | US
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Telephone | 347-325-2078
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Fax | 516-354-0835
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Provider Business Mailing Address
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Address Line | 35 CIRCLE DR W
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City | ELMONT
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State | NY
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Zip | 11003-2134
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Country | US
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Telephone | 347-325-2078
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Fax | 516-354-0835
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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 | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | 067995
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License Number State | NY
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