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General NPI Number Information
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NPI Number | 1104365790
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Entity Type | Organization
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Legal Business Name | CHRISTIANA CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 02/16/2017
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 201 JACKSON AVE CONRAD SCHOOLS OF SCIENCE
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City | WILMINGTON
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State | DE
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Zip | 19804-2125
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Country | US
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Telephone | 302-992-5545
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DR SUITE 2300
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City | NEWARK
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State | DE
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Zip | 19713-2049
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ROBERT W MCMURRAY JR.
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Credential |
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Telephone | 302-428-2522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LS0200X
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Taxonomy Name | School Nurse Practitioner
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License Number |
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License Number State |
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