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General NPI Number Information
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NPI Number | 1730355678
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Entity Type | Organization
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Legal Business Name | SUSSEX PULMONARY AND ENDOCRINE CONSULTANTS, PA
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Dates
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Enumeration Date | 04/30/2008
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Last Update Date | 04/30/2008
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Provider Practice Location Address
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Address Line | 18947 JOHN J WILLIAMS HWY UNIT 305 BEEBE HEALTH CAMPUS, MEDICAL ARTS CENTER
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-4477
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Country | US
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Telephone | 302-644-7201
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Fax | 302-644-7218
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Provider Business Mailing Address
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Address Line | 21505 WILLOW LN
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City | LEWES
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State | DE
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Zip | 19958-6034
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Country | US
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Telephone | 302-947-4507
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | REETU SINGH
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Credential | MD
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Telephone | 302-249-9970
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number | C10006856
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | C10006874
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 207RS0012X
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Taxonomy Name | Sleep Medicine (Internal Medicine) Physician
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License Number | C10006856
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number | C10006856
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License Number State | DE
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