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General NPI Number Information
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NPI Number | 1083910749
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Entity Type | Organization
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Legal Business Name | A.D.H.D. BEHAVIORAL LEARNING DISABILITY CENTER, P.A.
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Dates
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Enumeration Date | 01/28/2011
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Last Update Date | 07/31/2017
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Provider Practice Location Address
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Address Line | 2700 SILVERSIDE RD SUITE 5A
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City | WILMINGTON
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State | DE
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Zip | 19810-3719
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Country | US
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Telephone | 302-479-5351
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Fax | 302-478-9120
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Provider Business Mailing Address
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Address Line | 2700 SILVERSIDE RD SUITE 5A
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City | WILMINGTON
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State | DE
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Zip | 19810-3719
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Country | US
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Telephone | 302-479-5351
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Fax | 302-478-9120
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH JORDAN STORLAZZI JR.
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Credential | M.D.
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Telephone | 302-479-5351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C100000170
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number | C100000170
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License Number State | DE
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