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General NPI Number Information
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NPI Number | 1184980948
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Entity Type | Organization
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Legal Business Name | ANGELA DELLO LLC
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Dates
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Enumeration Date | 04/05/2012
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Last Update Date | 04/05/2012
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Provider Practice Location Address
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Address Line | 1601 CONCORD PIKE SUITES 92-100
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City | WILMINGTON
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State | DE
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Zip | 19803-3612
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Country | US
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Telephone | 610-513-0601
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Fax |
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Provider Business Mailing Address
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Address Line | 3754 HAWKHURST CLOSE
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City | CHADDS FORD
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State | PA
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Zip | 19317-8916
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Country | US
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Telephone | 610-513-0601
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ANGELA D TRAINOR
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Credential | LCSW
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Telephone | 610-513-0601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | Q1-0001010
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License Number State | DE
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