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General NPI Number Information
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NPI Number | 1386993418
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Entity Type | Organization
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Legal Business Name | DELAWARE MEDICAL SERVICES
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Dates
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Enumeration Date | 09/05/2012
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Last Update Date | 09/05/2012
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Provider Practice Location Address
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Address Line | 20468 COASTAL HWY
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-8030
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Country | US
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Telephone | 302-373-5366
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Fax | 302-658-1014
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Provider Business Mailing Address
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Address Line | PO BOX 3626
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City | WILMINGTON
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State | DE
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Zip | 19807-0626
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Country | US
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Telephone | 302-373-5366
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Fax | 302-658-1014
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Authorized Official
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Title or Position | MEMBER
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Name | RALPH AURIGEMMA
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Credential | MD
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Telephone | 302-373-5366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QA0401X
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Taxonomy Name | Addiction Medicine (Family Medicine) Physician
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License Number | C10004111
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License Number State | DE
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