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General NPI Number Information
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NPI Number | 1225079049
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Entity Type | Individual
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Provider Name | CESAR A DELATORRE M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/10/2006
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Last Update Date | 01/11/2011
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Provider Practice Location Address
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Address Line | 1095 RYDAL RD SUITE 100
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City | RYDAL
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State | PA
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Zip | 19046-1711
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Country | US
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Telephone | 267-620-1100
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Fax | 215-572-1279
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Provider Business Mailing Address
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Address Line | 1095 RYDAL RD SUITE 100
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City | RYDAL
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State | PA
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Zip | 19046-1711
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Country | US
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Telephone | 267-620-1100
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Fax | 215-572-1279
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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 | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD066426L
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License Number State | PA
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