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General NPI Number Information
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NPI Number | 1558256313
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Entity Type | Individual
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Provider Name | JACQUELINE ISABEL ALMELOR DELFELD PA-C
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Gender | Female
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 3640 HIGH ST STE 1E
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City | PORTSMOUTH
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State | VA
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Zip | 23707-3213
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Country | US
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Telephone | 757-398-2200
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 CLAREMONT AVE APT 2
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City | NORFOLK
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State | VA
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Zip | 23507-1120
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Country | US
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Telephone | 719-229-4351
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 0110011028
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License Number State | VA
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