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General NPI Number Information
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NPI Number | 1376331108
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Entity Type | Organization
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Legal Business Name | DELAWARE PCR PARTNERS LLC
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Dates
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Enumeration Date | 04/30/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 700 W LEA BLVD STE 104
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City | WILMINGTON
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State | DE
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Zip | 19802-2541
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Country | US
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Telephone | 267-671-2254
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Fax |
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Provider Business Mailing Address
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Address Line | 1601 KATER ST APT B
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City | PHILADELPHIA
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State | PA
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Zip | 19146-2093
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Country | US
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Telephone | 267-671-2254
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CINDY MARIE CACCURO
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Credential |
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Telephone | 267-671-2254
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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