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General NPI Number Information
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NPI Number | 1518345800
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Entity Type | Individual
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Provider Name | DELILAH KEBEDE
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Gender | Female
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 05/07/2015
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Provider Practice Location Address
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Address Line | PSC 490 BOX 7667
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City | FPO
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State | AP
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Zip | 96538-0490
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Country | US
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Telephone | 671-344-9354
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Fax |
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Provider Business Mailing Address
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Address Line | 188 TUMON BAY RD
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City | TAMUNING
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State | GU
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Zip | 96913-4146
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PH3017
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License Number State | DC
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