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General NPI Number Information
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NPI Number | 1760002497
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Entity Type | Organization
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Legal Business Name | PIPPEN HEALTH OF DELAWARE, PA
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Dates
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Enumeration Date | 04/22/2020
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Last Update Date | 12/12/2023
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Provider Practice Location Address
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Address Line | 1023 SPRINGDALE RD STE 13A
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City | AUSTIN
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State | TX
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Zip | 78721-2465
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Country | US
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Telephone | 512-270-0190
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Fax |
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Provider Business Mailing Address
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Address Line | 1023 SPRINGDALE RD STE 13A
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City | AUSTIN
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State | TX
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Zip | 78721-2465
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Country | US
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Telephone | 512-270-0190
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DIANNA BUDGEON
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Credential | RN
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Telephone | 425-306-0834
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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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