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General NPI Number Information
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NPI Number | 1073999116
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Entity Type | Individual
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Provider Name | SALLY JENAY DELMASTRO NP
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Gender | Female
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Dates
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Enumeration Date | 07/30/2015
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 2420 LAKE WHEELER RD
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City | RALEIGH
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State | NC
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Zip | 27603-2614
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Country | US
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Telephone | 919-755-0226
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Fax |
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Provider Business Mailing Address
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Address Line | 3800 S OCEAN DR STE 209
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City | HOLLYWOOD
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State | FL
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Zip | 33019-2915
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Country | US
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Telephone | 800-226-8874
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Fax | 877-366-4776
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 5007677
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License Number State | NC
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