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General NPI Number Information
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NPI Number | 1770898819
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Entity Type | Individual
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Provider Name | NORMA DELAHOZ P.A.
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Gender | Female
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Dates
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Enumeration Date | 08/12/2010
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Last Update Date | 08/12/2010
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Provider Practice Location Address
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Address Line | 506 LENOX AVE BLDG 12TH
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City | NEW YORK
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State | NY
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Zip | 10037-1802
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Country | US
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Telephone | 718-541-2778
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Fax | 212-939-8039
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Provider Business Mailing Address
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Address Line | 11109 66TH RD APT 1C
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City | FOREST HILLS
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State | NY
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Zip | 11375-8220
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Country | US
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Telephone | 212-939-8063
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Fax | 212-939-8038
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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 | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | 010227-1
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License Number State | NY
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