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General NPI Number Information
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NPI Number | 1578793543
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Entity Type | Individual
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Provider Name | DONNA MARIE DELVECCHIO PHARMD
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Gender | Female
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Dates
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Enumeration Date | 07/23/2009
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Last Update Date | 07/23/2009
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Provider Practice Location Address
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Address Line | 39 PARK AVENUE
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City | OWEGO
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State | NY
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Zip | 13827
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Country | US
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Telephone | 607-687-5626
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Fax |
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Provider Business Mailing Address
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Address Line | 702 SHERWOOD AVE
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City | DUNMORE
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State | PA
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Zip | 18512-2133
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Country | US
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Telephone | 570-650-4920
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051453-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RP437624
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License Number State | PA
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