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General NPI Number Information
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NPI Number | 1447063490
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Entity Type | Organization
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Legal Business Name | THE NEMOURS FOUNDATION
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Dates
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Enumeration Date | 01/31/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 1801 ROCKLAND RD STE 302
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City | WILMINGTON
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State | DE
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Zip | 19803-3648
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Country | US
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Telephone | 302-651-4200
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 404112
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City | ATLANTA
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State | GA
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Zip | 30384-4112
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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 | EXECUTIVE VP, COO
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Name | MARK MUMFORD
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Credential |
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Telephone | 302-651-6890
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2080P0006X
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Taxonomy Name | Developmental - Behavioral Pediatrics Physician
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License Number |
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License Number State |
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