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General NPI Number Information
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NPI Number | 1780277079
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Entity Type | Individual
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Provider Name | KARENA FAYE DELVECCHIO
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Gender | Female
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Dates
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Enumeration Date | 02/17/2021
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 502 CABELA DR
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City | TRIADELPHIA
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State | WV
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Zip | 26059-1044
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Country | US
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Telephone | 304-312-0416
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Fax |
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Provider Business Mailing Address
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Address Line | 502 CABELA DR
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City | TRIADELPHIA
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State | WV
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Zip | 26059-1044
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Country | US
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Telephone | 304-312-0416
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0028422
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN.CNP.0028422
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License Number State | OH
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