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Individual
DANIELLE FAZZOLARE
Active
Individual
DANIELLE FAZZOLARE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A. SPED
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
596213121
NY
174400000X
Specialist
Primary
596214121
NY
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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