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General NPI Number Information
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NPI Number | 1558705525
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Entity Type | Organization
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Legal Business Name | DELEWARE INJURY ASSOCIATES PA
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 707 FOULK RD SUITE 102
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City | WILMINGTON
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State | DE
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Zip | 19803-3737
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Country | US
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Telephone | 302-332-1932
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Fax |
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Provider Business Mailing Address
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Address Line | 707 FOULK RD SUITE 102
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City | WILMINGTON
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State | DE
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Zip | 19803-3737
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Country | US
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Telephone | 302-332-1932
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. KURT L ROSS
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Credential | D.O.
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Telephone | 302-332-1932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2013601519
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License Number State | DE
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