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General NPI Number Information
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NPI Number | 1528008786
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Entity Type | Individual
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Provider Name | JOSEPH A. DELUCIA DO
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Gender | Male
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 6420 CLAYTON RD
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City | SAINT LOUIS
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State | MO
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Zip | 63117-1811
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Country | US
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Telephone | 314-768-8000
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Fax | 314-768-8011
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Provider Business Mailing Address
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Address Line | 1836 LACKLAND HILL PKWY ATTNT: CREDENTIALING DEPARTMENT
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City | SAINT LOUIS
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State | MO
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Zip | 63146-3572
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Country | US
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Telephone | 314-989-0300
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Fax | 314-810-1399
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | R3J76
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 036082332
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | R3J76
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License Number State | MO
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