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General NPI Number Information
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NPI Number | 1033292016
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Entity Type | Organization
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Legal Business Name | AFFORDABLE HEALTH CARE OF DELAWARE
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 05/06/2008
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Provider Practice Location Address
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Address Line | 224 N DUPONT BLVD
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City | SMYRNA
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State | DE
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Zip | 19977-1511
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Country | US
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Telephone | 302-653-0903
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Fax | 302-653-1708
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Provider Business Mailing Address
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Address Line | 224 N DUPONT BLVD
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City | SMYRNA
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State | DE
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Zip | 19977-1511
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Country | US
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Telephone | 302-653-0903
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Fax | 302-653-1708
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | JOSEFINA CANCINO
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Credential | MD
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Telephone | 302-653-0903
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | G0005169
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License Number State | DE
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