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General NPI Number Information
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NPI Number | 1710079595
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Entity Type | Organization
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Legal Business Name | RICHARD L DEL CHECCOLO MD INC
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Dates
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Enumeration Date | 09/29/2006
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Last Update Date | 03/12/2013
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Provider Practice Location Address
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Address Line | 410 31ST ST
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City | HUNTINGTON
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State | WV
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Zip | 25702-1420
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Country | US
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Telephone | 304-525-9100
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Fax | 304-525-4402
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Provider Business Mailing Address
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Address Line | 410 31ST ST
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City | HUNTINGTON
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State | WV
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Zip | 25702-1420
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Country | US
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Telephone | 304-525-9100
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Fax | 304-525-4402
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RICHARD LAYNE DEL CHECCOLO
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Credential | M.D.
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Telephone | 304-525-9100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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