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General NPI Number Information
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NPI Number | 1366207466
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Entity Type | Organization
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Legal Business Name | DELAWARE COMMUNITY CARE
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Dates
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Enumeration Date | 02/19/2024
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Last Update Date | 01/26/2025
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Provider Practice Location Address
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Address Line | 103 ROCKROSE DR
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City | NEWARK
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State | DE
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Zip | 19711-6825
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Country | US
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Telephone | 302-660-1100
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Fax | 302-250-4707
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Provider Business Mailing Address
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Address Line | 103 ROCKROSE DR
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City | NEWARK
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State | DE
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Zip | 19711-6825
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Country | US
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Telephone | 302-660-1100
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Fax | 302-250-4707
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Authorized Official
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Title or Position | CEO
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Name | JAY W LYNCH
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Credential |
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Telephone | 302-660-1100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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