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General NPI Number Information
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NPI Number | 1487964425
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Entity Type | Individual
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Provider Name | TERESA LOUISE INSETTA M.S.R.D.
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Gender | Female
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Dates
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Enumeration Date | 10/08/2010
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Last Update Date | 10/08/2010
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Provider Practice Location Address
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Address Line | 2501 EBRIGHT ROAD CONCORD HIGH SCHOOL WELLNESS CENTER
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City | WILMINGTON
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State | DE
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Zip | 19810-1198
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Country | US
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Telephone | 302-477-3960
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Fax |
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Provider Business Mailing Address
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Address Line | 4755 OGLETOWN-STANTON ROAD CHRISTIANA CARE HIGH SCHOOL WELLNESS CENTERS
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City | NEWARK
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State | DE
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Zip | 19718
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Country | US
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Telephone | 302-477-3960
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Fax |
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DN-0000370
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License Number State | DE
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