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General NPI Number Information
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NPI Number | 1174912430
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Entity Type | Organization
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Legal Business Name | JOHN P. DELGADO, MD PC
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Dates
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Enumeration Date | 01/09/2015
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Last Update Date | 01/09/2015
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Provider Practice Location Address
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Address Line | 148 E HERSEY ST
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City | ASHLAND
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State | OR
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Zip | 97520-1359
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Country | US
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Telephone | 541-552-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 148 E HERSEY ST
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City | ASHLAND
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State | OR
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Zip | 97520-1359
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Country | US
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Telephone | 541-552-1111
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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 | DR. JOHN P DELGADO
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Credential | M.D.
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Telephone | 541-552-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201500076NP-PP
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License Number State | OR
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