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NPI 1245413996

NPI 1245413996 : DENNIS R DELP : YORK, PA

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General NPI Number Information
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    NPI Number           |    1245413996
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    Entity Type          |    Organization 
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    Legal Business Name  |    DENNIS R DELP 
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Dates
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    Enumeration Date     |    12/17/2007
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    Last Update Date     |    06/30/2008
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Provider Practice Location Address
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    Address Line         |    1954 CARLISLE RD 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17408-1510
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    Country              |    US
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    Telephone            |    717-767-4231
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1954 CARLISLE RD 
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    City                 |    YORK
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    State                |    PA
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    Zip                  |    17408-1510
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    Country              |    US
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    Telephone            |    717-767-4231
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OFFICE MANAGER
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    Name                 |    MRS. LINDA M DELP 
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    Credential           |    
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    Telephone            |    717-767-4231
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    152W00000X
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    Taxonomy Name        |    Optometrist
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    License Number       |    OEG000638
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    License Number State |    PA
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