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General NPI Number Information
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NPI Number | 1578607446
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Entity Type | Organization
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Legal Business Name | STATE OF DELAWARE
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/08/2008
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Provider Practice Location Address
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Address Line | 112 MIDDLEBORO RD
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City | WILMINGTON
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State | DE
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Zip | 19804-1621
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Country | US
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Telephone | 302-998-0745
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Fax | 302-998-3521
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Provider Business Mailing Address
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Address Line | 112 MIDDLEBORO RD
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City | WILMINGTON
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State | DE
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Zip | 19804-1621
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Country | US
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Telephone | 302-998-0745
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Fax | 302-998-3521
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Authorized Official
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Title or Position | PRINCIPAL
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Name | CHARLES W BALDWIN
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Credential |
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Telephone | 302-998-0745
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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