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General NPI Number Information
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NPI Number | 1134920622
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Entity Type | Individual
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Provider Name | JEANNETTE DELGADO-RIVERA FNP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2025
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Last Update Date | 03/21/2025
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Provider Practice Location Address
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Address Line | 405 SILVERSIDE RD
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City | WILMINGTON
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State | DE
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Zip | 19809-1774
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Country | US
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Telephone | 844-365-7246
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LISA DR
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City | NEWARK
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State | DE
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Zip | 19702-3753
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Country | US
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Telephone | 267-259-7088
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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 | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number | LG-0012998
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License Number State | DE
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