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General NPI Number Information
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NPI Number | 1265515464
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Entity Type | Organization
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Legal Business Name | IRENE C. VIOLA, MD, PA
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Dates
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Enumeration Date | 10/23/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 1606 SAVANNAH RD SUITE 8
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City | LEWES
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State | DE
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Zip | 19958-1656
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Country | US
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Telephone | 302-644-1450
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Fax | 302-644-0650
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Provider Business Mailing Address
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Address Line | 1606 SAVANNAH RD SUITE 8
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City | LEWES
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State | DE
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Zip | 19958-1656
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Country | US
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Telephone | 302-644-1450
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Fax | 302-644-0650
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | IRENE C VIOLA
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Credential | MD
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Telephone | 302-644-1450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | C1-0006063
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | C1-0006063
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License Number State | DE
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