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General NPI Number Information
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NPI Number | 1528553047
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Entity Type | Organization
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Legal Business Name | CHRISTIANA CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 06/27/2018
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Last Update Date | 06/27/2018
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Provider Practice Location Address
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Address Line | 801 W 18TH ST
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City | WILMINGTON
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State | DE
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Zip | 19802-3852
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Country | US
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Telephone | 302-000-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DR STE 2300
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City | NEWARK
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State | DE
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Zip | 19713-2049
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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 | VP REVENUE & TREASURY SERVICES
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Name | KATHLEEN COLLINS
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Credential |
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Telephone | 302-623-7249
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QS1000X
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Taxonomy Name | Student Health Clinic/Center
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License Number |
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License Number State |
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