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General NPI Number Information
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NPI Number | 1619418233
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Entity Type | Organization
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Legal Business Name | DELGIACCO MEDICAL
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Dates
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Enumeration Date | 03/15/2017
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Last Update Date | 03/15/2017
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Provider Practice Location Address
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Address Line | 6048 ESTATE CASTLE COAKLEY
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City | CHRISTIANSTED
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State | VI
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Zip | 00820
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Country | US
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Telephone | 340-772-1551
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Fax | 340-772-1555
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Provider Business Mailing Address
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Address Line | 6048 ESTATE CASTLE COAKLEY
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City | CHRISTIANSTED
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State | VI
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Zip | 00820
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Country | US
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Telephone | 340-772-1551
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Fax | 340-772-1555
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Authorized Official
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Title or Position | PHYSICIAN/BUSINESS OWNER
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Name | ELIZABETH DELGIACCO
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Credential | DO
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Telephone | 585-259-3040
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 2121
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License Number State | VI
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