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General NPI Number Information
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NPI Number | 1437371093
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Entity Type | Organization
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Legal Business Name | DELAWARE FAMILY HEALTHCARE ALLIANCE, INC.
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Dates
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Enumeration Date | 05/03/2007
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Last Update Date | 02/25/2011
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Provider Practice Location Address
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Address Line | 2114 S DUPONT HWY STE 1
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City | CAMDEN
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State | DE
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Zip | 19934-1249
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Country | US
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Telephone | 302-697-0515
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Fax | 302-697-0415
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Provider Business Mailing Address
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Address Line | 2114 S DUPONT HWY STE 1
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City | CAMDEN
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State | DE
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Zip | 19934-1249
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Country | US
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Telephone | 302-697-0515
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Fax | 302-697-0415
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Authorized Official
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Title or Position | PRESIDENT
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Name | SANDRA NMI PATTERSON
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Credential | CRNP
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Telephone | 302-677-0515
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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 | 2005206803
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License Number State | DE
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