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NPI 1124216288

NPI 1124216288 : ERIC DELMAN DO A PROFESSIONAL CORP : YUBA CITY, CA

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General NPI Number Information
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    NPI Number           |    1124216288
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    Entity Type          |    Organization 
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    Legal Business Name  |    ERIC DELMAN DO A PROFESSIONAL CORP 
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Dates
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    Enumeration Date     |    10/12/2007
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    Last Update Date     |    03/26/2015
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Provider Practice Location Address
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    Address Line         |    1168 LIVE OAK BLVD 
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    City                 |    YUBA CITY
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    State                |    CA
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    Zip                  |    95991-3407
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    Country              |    US
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    Telephone            |    530-751-7444
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    Fax                  |    530-751-7428
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Provider Business Mailing Address
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    Address Line         |    1168 LIVE OAK BLVD 
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    City                 |    YUBA CITY
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    State                |    CA
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    Zip                  |    95991-3407
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    Country              |    US
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    Telephone            |    530-751-7444
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    Fax                  |    530-751-7428
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     ERIC BENJAMIN DELMAN 
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    Credential           |    DO
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    Telephone            |    530-751-7444
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    20A8917
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    License Number State |    CA
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