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General NPI Number Information
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NPI Number | 1508815424
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Entity Type | Individual
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Provider Name | KAREN LYNNE DELLA-GIUSTINA MD
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Gender | Female
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Dates
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Enumeration Date | 05/08/2006
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Last Update Date | 10/15/2018
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Provider Practice Location Address
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Address Line | MADIGAN ARMY MEDICAL CENTER- DEPT OF PEDIATRICS BLDG 9040 FITZSIMMONS DRIVE
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City | TACOMA
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State | WA
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Zip | 98431-0001
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Country | US
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Telephone | 253-968-3066
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Fax |
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Provider Business Mailing Address
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Address Line | 267 GRANT ST
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City | BRIDGEPORT
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State | CT
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Zip | 06610-2805
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Country | US
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Telephone | 203-384-4490
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Fax | 203-384-4132
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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 | 2080P0204X
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Taxonomy Name | Pediatric Emergency Medicine (Pediatrics) Physician
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License Number | 051237
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD050261L
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License Number State | PA
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