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General NPI Number Information
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NPI Number | 1154092195
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Entity Type | Organization
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Legal Business Name | CHRISTIANA CARE QUALITY PARTNERS
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Dates
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Enumeration Date | 09/21/2021
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Last Update Date | 09/22/2021
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Provider Practice Location Address
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Address Line | 310 E PULASKI HWY
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City | ELKTON
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State | MD
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Zip | 21921-6435
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Country | US
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Telephone | 443-485-6213
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DR STE 2300
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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 |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | ROBERT W MALIZIA
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Credential |
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Telephone | 315-362-5129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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