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General NPI Number Information
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NPI Number | 1114305976
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Entity Type | Organization
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Legal Business Name | PRACTICE WITHOUT PRESSURE PIKE CREEK
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Dates
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Enumeration Date | 05/13/2015
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Last Update Date | 01/06/2017
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Provider Practice Location Address
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Address Line | 3105 LIMESTONE RD SUITE 210
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City | WILMINGTON
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State | DE
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Zip | 19808-2147
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Country | US
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Telephone | 302-635-7873
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Fax |
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Provider Business Mailing Address
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Address Line | 3105 LIMESTONE RD SUITE 210
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City | WILMINGTON
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State | DE
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Zip | 19808-2147
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Country | US
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Telephone | 302-635-7873
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. HOPE DIANE THOMAS-GLAVIN
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Credential | D.D.S.
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Telephone | 302-635-7837
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 2015601326
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License Number State | DE
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