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General NPI Number Information
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NPI Number | 1497804827
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Entity Type | Individual
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Provider Name | FREDERIQUE P. DELHAYE M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/08/2007
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 5750 E HIGHWAY 90 STE 200
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-9113
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Country | US
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Telephone | 520-263-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 11670 N 109TH ST
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City | SCOTTSDALE
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State | AZ
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Zip | 85259-3024
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Country | US
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Telephone | 732-221-6874
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Fax | 928-233-8508
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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 | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number | FD5569770
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License Number State | AZ
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