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General NPI Number Information
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NPI Number | 1013681840
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Entity Type | Individual
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Provider Name | KORI DELLINGER AGACNP
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Gender | Female
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Dates
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Enumeration Date | 08/05/2021
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Last Update Date | 02/04/2026
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Provider Practice Location Address
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Address Line | 2400 S AVENUE A
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City | YUMA
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State | AZ
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Zip | 85364-7127
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Country | US
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Telephone | 505-328-4579
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Fax |
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Provider Business Mailing Address
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Address Line | 5740 FURSMAN AVE
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City | FORT WORTH
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State | TX
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Zip | 76114-4410
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Country | US
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Telephone | 505-328-4579
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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 | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 264391
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207PE0004X
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Taxonomy Name | Emergency Medical Services (Emergency Medicine) Physician
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License Number | 264391
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1129187
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License Number State | TX
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