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General NPI Number Information
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NPI Number | 1689807315
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Entity Type | Individual
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Provider Name | JOHANNA DELACROIX MD
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Gender | Female
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Dates
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Enumeration Date | 08/28/2009
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 2700 W NORFOLK AVE
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City | NORFOLK
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State | NE
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Zip | 68701-4438
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Country | US
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Telephone | 402-371-4880
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Fax |
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Provider Business Mailing Address
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Address Line | 3950 OLD SANTA FE TRL
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City | SANTA FE
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State | NM
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Zip | 87505-4538
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD42492
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD2017-0255
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License Number State | NM
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD29627
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License Number State | ME
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Taxonomy #4
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 83453
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License Number State | SC
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 12145C
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License Number State | WY
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Taxonomy #6
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | C1-0023869
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License Number State | DE
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Taxonomy #7
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | MD18802
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License Number State | HI
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Taxonomy #8
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 28446
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License Number State | NE
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