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NPI 1255510210

NPI 1255510210 : ASHLEY LORRAINE DELANEY LPN : DUQUOIN, IL

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General NPI Number Information
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    NPI Number           |    1255510210
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    Entity Type          |    Individual 
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    Provider Name        |    ASHLEY LORRAINE DELANEY LPN
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/26/2007
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    Last Update Date     |    10/26/2007
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Provider Practice Location Address
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    Address Line         |    119 GAS PLANT ROAD REA CLINIC-DUQUOIN
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    City                 |    DUQUOIN
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    State                |    IL
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    Zip                  |    62832
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    Country              |    US
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    Telephone            |    618-542-8702
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    Fax                  |    618-542-8792
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Provider Business Mailing Address
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    Address Line         |    P.O. BOX 155 REA CLINIC-CHRISTOPHER RURAL HEALTH PLANNI
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    City                 |    CHRISTOPHER
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    State                |    IL
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    Zip                  |    62822
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    Country              |    US
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    Telephone            |    618-724-2401
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    Fax                  |    618-724-2571
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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        |    164W00000X
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    Taxonomy Name        |    Licensed Practical Nurse
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    License Number       |    
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    License Number State |    IL
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