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General NPI Number Information
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NPI Number | 1124531280
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Entity Type | Organization
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Legal Business Name | CHRISTIANA CARE HEALTH INITIATIVES
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Dates
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Enumeration Date | 11/13/2017
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Last Update Date | 11/13/2017
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Provider Practice Location Address
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Address Line | 125 EAST AVE STE D
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City | WOODSTOWN
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State | NJ
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Zip | 08098-1351
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Country | US
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Telephone | 856-769-3900
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Fax | 856-769-3903
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DR
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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 | 302-623-7362
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Fax | 302-623-0394
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Authorized Official
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Title or Position | OPERATIONS COORDINATOR
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Name | AILEEN ABAD
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Credential |
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Telephone | 302-623-7362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number |
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License Number State |
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