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General NPI Number Information
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NPI Number | 1174843106
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Entity Type | Individual
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Provider Name | NANCY B DELANEY PH.D.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2010
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Last Update Date | 01/24/2024
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Provider Practice Location Address
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Address Line | 1 SOW MEDICAL GROUP 113 LIELMANIS AVE.
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City | HURLBURT FIELD
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State | FL
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Zip | 32544
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Country | US
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Telephone | 850-884-2301
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Fax |
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Provider Business Mailing Address
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Address Line | 377 MDG/SGOW 2050A SECOND STREET SE, KIRTLAND AFB
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City | ALBUQUERQUE
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State | NM
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Zip | 87117-5522
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Country | US
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Telephone | 505-846-4511
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 129719
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License Number State | KY
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