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General NPI Number Information
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NPI Number | 1679229033
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Entity Type | Organization
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Legal Business Name | JASON DELCOLLO, LLC
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/25/2022
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Provider Practice Location Address
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Address Line | 5024 PENNELL RD
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City | ASTON
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State | PA
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Zip | 19014-1868
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Country | US
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Telephone | 484-456-1257
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Fax |
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Provider Business Mailing Address
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Address Line | 203 WELWYN RD
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City | WILMINGTON
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State | DE
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Zip | 19803-2951
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Country | US
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Telephone | 302-542-2284
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JASON DELCOLLO
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Credential | DO
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Telephone | 302-542-2284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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