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NPI 1598253254

NPI 1598253254 : DELFIN A IGLESIA : HILLSBOROUGH, NC

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General NPI Number Information
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    NPI Number           |    1598253254
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    Entity Type          |    Individual 
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    Provider Name        |    DELFIN A IGLESIA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/28/2018
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    Last Update Date     |    12/17/2024
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Provider Practice Location Address
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    Address Line         |    2800 OLD NC 86 STE 105 
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    City                 |    HILLSBOROUGH
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    State                |    NC
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    Zip                  |    27278-8788
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    Country              |    US
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    Telephone            |    919-732-2909
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5221 PARAMOUNT PKWY STE 220 
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    City                 |    MORRISVILLE
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    State                |    NC
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    Zip                  |    27560-5490
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    Country              |    US
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    Telephone            |    
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    2022-00667
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    License Number State |    NC
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Taxonomy #2
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    Taxonomy Code        |    207R00000X
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    Taxonomy Name        |    Internal Medicine Physician
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    License Number       |    2022-00667
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    License Number State |    NC
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