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General NPI Number Information
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NPI Number | 1700549052
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Entity Type | Organization
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Legal Business Name | ST ALBERT FAMILY CLINIC AND SERVICES
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Dates
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Enumeration Date | 10/14/2021
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 5641 DUPONT PKWY
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City | SMYRNA
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State | DE
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Zip | 19977-9203
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Country | US
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Telephone | 302-312-5177
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Fax |
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Provider Business Mailing Address
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Address Line | 5641 DUPONT PKWY
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City | SMYRNA
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State | DE
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Zip | 19977-9229
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Country | US
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Telephone | 302-389-8443
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JEAN MARIE TUETE
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Credential |
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Telephone | 302-312-5177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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