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General NPI Number Information
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NPI Number | 1578192415
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Entity Type | Individual
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Provider Name | JESSICA ANN DELLAGHELFA
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Gender | Female
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Dates
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Enumeration Date | 04/03/2020
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Last Update Date | 04/03/2020
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Provider Practice Location Address
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Address Line | 7 VANDERBILT PARK DR
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City | ASHEVILLE
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State | NC
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Zip | 28803-1700
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Country | US
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Telephone | 866-432-3637
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Fax |
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Provider Business Mailing Address
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Address Line | 2 SOMMER HILL RD
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City | ADAMS
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State | MA
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Zip | 01220-9771
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Country | US
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Telephone | 413-281-8097
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 20546
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License Number State | MA
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