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General NPI Number Information
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NPI Number | 1770324063
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Entity Type | Individual
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Provider Name | TAMMY SUE DELEO PMHNP-BC, MSN, RN
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Gender | Female
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Dates
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Enumeration Date | 06/03/2024
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Last Update Date | 05/07/2026
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Provider Practice Location Address
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Address Line | 100 PARK ST
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City | HONESDALE
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State | PA
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Zip | 18431-2023
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Country | US
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Telephone | 570-290-8780
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Fax | 570-508-4580
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Provider Business Mailing Address
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Address Line | 173 EAGLE ROCK RD # 1A100
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City | LACKAWAXEN
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State | PA
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Zip | 18435-7725
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Country | US
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Telephone | 570-352-8696
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 863341-01
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP034734
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License Number State | PA
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