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General NPI Number Information
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NPI Number | 1154959161
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Entity Type | Individual
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Provider Name | REGINALD DELIGENT M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/27/2020
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 5010 HOLLYWOOD BLVD STE 100B
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City | HOLLYWOOD
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State | FL
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Zip | 33021-6557
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Country | US
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Telephone | 954-967-0028
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 405827
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City | ATLANTA
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State | GA
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Zip | 30384-5827
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Country | US
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Telephone | 901-226-3186
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 71935
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 93628
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | V6473
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 79082
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License Number State | MN
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 22218
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License Number State | ND
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Taxonomy #6
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 4301512580
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License Number State | MI
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Taxonomy #7
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | ME169016
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License Number State | FL
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