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General NPI Number Information
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NPI Number | 1790831667
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Entity Type | Organization
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Legal Business Name | ENDOCRINE ASSOCIATES PA
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Dates
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Enumeration Date | 01/25/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4745 OGLETOWN STANTON ROAD SUITE 208
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City | NEWARK
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State | DE
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Zip | 19713-2067
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Country | US
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Telephone | 302-731-0606
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Fax | 302-731-1656
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Provider Business Mailing Address
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Address Line | 4745 OGLETOWN STANTON ROAD SUITE 208
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City | NEWARK
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State | DE
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Zip | 19713-2067
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Country | US
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Telephone | 302-731-0606
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Fax | 302-731-1656
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Authorized Official
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Title or Position | PHYSICIAN OWNER
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Name | VALERIE ANNE WEST
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Credential | MD FACE
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Telephone | 302-731-0606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | C10001669
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License Number State | DE
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