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General NPI Number Information
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NPI Number | 1417841289
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Entity Type | Organization
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Legal Business Name | HISPANIC AMERICAN ASSOCIATION OF DELAWARE, INC
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Dates
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Enumeration Date | 06/05/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 1500 E NEWPORT PIKE STE E
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City | WILMINGTON
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State | DE
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Zip | 19804-2346
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Country | US
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Telephone | 302-483-7914
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 LANCASTER AVE
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City | WILMINGTON
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State | DE
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Zip | 19805-3805
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. RONALD TELLO-MARZOL
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Credential | PHD, LPCMH
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Telephone | 302-668-6118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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