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General NPI Number Information
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NPI Number | 1316069610
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Entity Type | Organization
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Legal Business Name | CHRISTIANA CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 501 W 14TH ST WILMINGTON HOSPITAL
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City | WILMINGTON
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State | DE
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Zip | 19801-1013
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Country | US
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Telephone | 302-733-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DRIVE, CCHS INC., SUITE 2502 PHYSICIAN CONTRACTING
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City | NEWARK
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State | DE
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Zip | 19713
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Country | US
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Telephone | 302-623-7362
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Fax | 302-623-7374
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Authorized Official
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Title or Position | VP OF FINANCE
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Name | RICHARD B ELLIS JR.
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Credential |
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Telephone | 302-623-7202
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State | DE
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