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General NPI Number Information
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NPI Number | 1457987521
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Entity Type | Organization
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Legal Business Name | DELAWARE RIVER MEDICINE, PLLC
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Dates
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Enumeration Date | 03/20/2020
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Last Update Date | 01/23/2025
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Provider Practice Location Address
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Address Line | 160 E MAIN ST
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City | PORT JERVIS
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State | NY
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Zip | 12771-2253
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Country | US
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Telephone | 888-264-0330
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Fax |
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Provider Business Mailing Address
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Address Line | 1602 AVENUE Q
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City | LUBBOCK
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State | TX
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Zip | 79401-4732
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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 | OWNER/ PRESIDENT
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Name | HARRY K SHEETS
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Credential | MD
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Telephone | 806-729-3445
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number |
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License Number State |
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