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General NPI Number Information
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NPI Number | 1639155625
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Entity Type | Organization
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Legal Business Name | DELAWARE FAMILY CARE ASSOCIATES
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Dates
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Enumeration Date | 12/21/2005
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 2700 SILVERSIDE RD
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City | WILMINGTON
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State | DE
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Zip | 19810-3719
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Country | US
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Telephone | 302-478-8421
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Fax | 302-478-8422
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Provider Business Mailing Address
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Address Line | 2700 SILVERSIDE RD
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City | WILMINGTON
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State | DE
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Zip | 19810-3724
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Country | US
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Telephone | 302-478-8421
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Fax | 302-478-8422
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DIANE FREEBERY
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Credential |
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Telephone | 302-478-8467
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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