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General NPI Number Information
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NPI Number | 1114792603
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Entity Type | Individual
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Provider Name | DARIA DELIA DC
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Gender | Female
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Dates
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Enumeration Date | 11/15/2023
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Last Update Date | 11/15/2023
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Provider Practice Location Address
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Address Line | 3040 WESTERN BLVD STE 300
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City | JACKSONVILLE
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State | NC
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Zip | 28546-0123
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Country | US
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Telephone | 910-430-3768
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Fax |
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Provider Business Mailing Address
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Address Line | 1847 DUSTY MILLER LN APT 4106
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City | WILMINGTON
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State | NC
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Zip | 28412-4312
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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 |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 5689
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License Number State | NC
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