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General NPI Number Information
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NPI Number | 1659547560
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Entity Type | Organization
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Legal Business Name | CHRISTIANA CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 04/20/2009
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Provider Practice Location Address
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Address Line | 1011 W BALTIMORE PIKE SUITE 304
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City | WEST GROVE
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State | PA
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Zip | 19390
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Country | US
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Telephone | 610-869-1278
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Fax | 610-869-3736
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Provider Business Mailing Address
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Address Line | 200 HYGEIA DRIVE SUITE 2502 PHYSICIAN CONTRACTING-CHRISTIANA CARE HEALTH SERVICES
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City | WILMINGTON
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State | DE
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Zip | 19713-2049
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Country | US
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Telephone | 302-623-7362
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Fax | 302-623-7374
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | J. DAVID CHARLES
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Credential |
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Telephone | 302-623-7165
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | OS008088L
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License Number State | PA
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