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General NPI Number Information
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NPI Number | 1609849918
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Entity Type | Individual
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Provider Name | IVANA DELALLE M.D.
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Gender | Female
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Dates
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Enumeration Date | 02/08/2006
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 670 ALBANY STREET SUITE 304
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City | BOSTON
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State | MA
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Zip | 02118-2646
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Country | US
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Telephone | 617-414-4291
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Fax | 617-414-5315
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Provider Business Mailing Address
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Address Line | 960 MASSACHUSETTS AVENUE FL 2
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City | BOSTON
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State | MA
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Zip | 02118-2690
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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 | 207ZN0500X
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Taxonomy Name | Neuropathology Physician
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License Number | 207664
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 207ZP0101X
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Taxonomy Name | Anatomic Pathology Physician
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License Number | 207664
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License Number State | MA
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