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General NPI Number Information
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NPI Number | 1528452265
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Entity Type | Individual
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Provider Name | PATRICIA POWELL FNP
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Gender | Female
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 200 BANNING ST STE 210
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City | DOVER
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State | DE
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Zip | 19904-3487
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Country | US
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Telephone | 302-744-9645
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Fax |
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Provider Business Mailing Address
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Address Line | 129 WELLINGTON WAY
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City | MIDDLETOWN
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State | DE
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Zip | 19709-9406
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Country | US
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Telephone | 302-540-3752
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Fax | 302-449-4383
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | LG-0000774
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License Number State | DE
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