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General NPI Number Information
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NPI Number | 1467827428
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Entity Type | Individual
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Provider Name | ALEJANDRA DELGADO PA
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Gender | Female
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Dates
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Enumeration Date | 12/02/2015
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 1389 S US HWY 301
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City | SUMTERVILLE
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State | FL
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Zip | 33585-5143
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Country | US
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Telephone | 352-793-5900
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Fax | 855-767-2558
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Provider Business Mailing Address
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Address Line | 1425 S US 301
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City | SUMTERVILLE
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State | FL
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Zip | 33585-5141
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Country | US
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Telephone | 352-793-5900
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Fax | 888-518-2037
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA9117763
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License Number State | FL
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