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General NPI Number Information
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NPI Number | 1679855597
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Entity Type | Individual
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Provider Name | FLORENCE DELAVEGA
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Gender | Female
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 09/16/2011
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Provider Practice Location Address
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Address Line | 9151 MANSFIELD DR
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City | TINLEY PARK
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State | IL
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Zip | 60487
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Country | US
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Telephone | 708-460-2021
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Fax | 708-460-2974
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Provider Business Mailing Address
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Address Line | 9151 MANSFIELD DR
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City | TINLEY PARK
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State | IL
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Zip | 60487-9572
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 051291205
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License Number State | IL
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