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General NPI Number Information
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NPI Number | 1013951243
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Entity Type | Organization
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Legal Business Name | ROBERT A DELP MD PC
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Dates
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Enumeration Date | 06/16/2006
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Last Update Date | 10/17/2007
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Provider Practice Location Address
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Address Line | 626 CROOKS RD
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City | CLAWSON
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State | MI
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Zip | 48017-1310
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Country | US
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Telephone | 248-280-1414
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Fax | 248-435-7557
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Provider Business Mailing Address
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Address Line | 626 CROOKS RD
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City | CLAWSON
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State | MI
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Zip | 48017-1310
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Country | US
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Telephone | 248-280-1414
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Fax | 248-435-7557
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. ROBERT A DELP
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Credential | MD
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Telephone | 248-280-1414
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 4301036402
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License Number State | MI
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