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General NPI Number Information
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NPI Number | 1295744191
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Entity Type | Organization
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Legal Business Name | PATRICIA D LIFRAK MD INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 07/09/2010
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Provider Practice Location Address
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Address Line | 287 CHRISTIANA RD SUITE 8
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City | NEW CASTLE
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State | DE
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Zip | 19720-2978
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Country | US
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Telephone | 302-328-4392
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Fax | 302-689-0122
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Provider Business Mailing Address
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Address Line | 5 YORKRIDGE TRAIL
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City | HOCKESSIN
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State | DE
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Zip | 19707
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Country | US
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Telephone | 302-328-4392
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Fax | 302-689-0122
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Authorized Official
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Title or Position | PRESIDENT
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Name | PATRICIA D LIFRAK
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Credential | MD
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Telephone | 302-328-4392
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | C1-0003713
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2084A0401X
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Taxonomy Name | Addiction Medicine (Psychiatry & Neurology) Physician
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License Number | C10003713
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License Number State | DE
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