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General NPI Number Information
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NPI Number | 1750541629
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Entity Type | Organization
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Legal Business Name | JOHN R. DELANEY MD PA
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Dates
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Enumeration Date | 06/13/2008
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Last Update Date | 06/13/2008
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Provider Practice Location Address
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Address Line | 1135 PASADENA AVE S
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City | SOUTH PASADENA
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State | FL
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Zip | 33707-2887
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Country | US
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Telephone | 727-344-1476
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Fax | 727-344-1477
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Provider Business Mailing Address
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Address Line | 1849 BRIGHTWATERS BLVD NE
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City | ST PETERSBURG
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State | FL
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Zip | 33704-3005
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Country | US
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Telephone | 727-344-1476
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Fax | 727-344-1477
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN R DELANEY
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Credential | M.D.
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Telephone | 727-344-1476
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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 | ME0017826
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License Number State | FL
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