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General NPI Number Information
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NPI Number | 1487778098
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Entity Type | Organization
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Legal Business Name | DR. JOANNA M. DELEO, P.C.
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 03/03/2008
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Provider Practice Location Address
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Address Line | 4811 JONESTOWN RD SUITE 126
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City | HARRISBURG
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State | PA
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Zip | 17109-1745
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Country | US
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Telephone | 717-652-5552
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Fax | 717-671-1870
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Provider Business Mailing Address
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Address Line | 4811 JONESTOWN RD SUITE 126
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City | HARRISBURG
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State | PA
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Zip | 17109-1745
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Country | US
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Telephone | 717-652-5552
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Fax | 717-671-1870
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Authorized Official
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Title or Position | OWNER
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Name | DR. JOANNA MARIE DELEO
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Credential | D.O.
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Telephone | 717-652-5552
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | OS007425L
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License Number State | PA
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