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General NPI Number Information
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NPI Number | 1043379290
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Entity Type | Organization
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Legal Business Name | DELAWARE VASCULAR ASSOCIATES P A
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 4735 OGLETOWN STANTON RD MEDICAL ARTS PAVILION 2 SUITE 1208
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City | NEWARK
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State | DE
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Zip | 19713-2072
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Country | US
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Telephone | 302-733-5700
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Fax | 302-733-5373
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Provider Business Mailing Address
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Address Line | 4735 OGLETOWN STANTON RD MEDICAL ARTS PAVILION 2 SUITE 1208
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City | NEWARK
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State | DE
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Zip | 19713-2072
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Country | US
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Telephone | 302-733-5700
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Fax | 302-733-5373
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. F TODD HARAD
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Credential | M.D.
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Telephone | 302-733-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 1998205736
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License Number State | DE
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