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NPI 1194728436

NPI 1194728436 : JOEL PATRICK DELANEY RPA : BALDWINSVILLE, NY

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General NPI Number Information
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    NPI Number           |    1194728436
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    Entity Type          |    Individual 
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    Provider Name        |    JOEL PATRICK DELANEY RPA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/31/2005
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    Last Update Date     |    09/11/2025
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Provider Practice Location Address
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    Address Line         |    8280 WILLETT PARKWAY SUITE 200
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    City                 |    BALDWINSVILLE
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    State                |    NY
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    Zip                  |    13027
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    Country              |    US
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    Telephone            |    315-671-3440
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    Fax                  |    315-671-3449
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Provider Business Mailing Address
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    Address Line         |    8100 OSWEGO ROAD SUITE 220
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    City                 |    LIVERPOOL
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    State                |    NY
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    Zip                  |    13090
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    Country              |    US
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    Telephone            |    315-652-6551
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    Fax                  |    315-652-9698
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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        |    363AM0700X
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    Taxonomy Name        |    Medical Physician Assistant
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    License Number       |    006824
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    License Number State |    NY
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Taxonomy #2
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    Taxonomy Code        |    363A00000X
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    Taxonomy Name        |    Physician Assistant
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    License Number       |    006824
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    License Number State |    NY
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