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General NPI Number Information
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NPI Number | 1104100585
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Entity Type | Individual
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Provider Name | DELAILA NAADEDEI ARYEE DPT
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Gender | Female
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Dates
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Enumeration Date | 10/04/2011
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Last Update Date | 11/24/2015
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Provider Practice Location Address
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Address Line | 5008 BALTIMORE AVE 2ND FLOOR, SUITE D
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City | PHILADELPHIA
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State | PA
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Zip | 19143-4271
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Country | US
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Telephone | 215-650-7383
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Fax | 215-747-1080
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Provider Business Mailing Address
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Address Line | 5008 BALTIMORE AVE 2ND FLOOR, SUITE D
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City | PHILADELPHIA
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State | PA
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Zip | 19143-4271
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Country | US
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Telephone | 215-747-7383
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Fax | 217-747-1080
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT021445
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License Number State | PA
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