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General NPI Number Information
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NPI Number | 1821298282
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Entity Type | Organization
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Legal Business Name | RENATO F DELACRUZ MD
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Dates
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Enumeration Date | 07/23/2007
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Last Update Date | 11/14/2014
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Provider Practice Location Address
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Address Line | 92 N 4TH ST SUITE 22
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City | MARTINS FERRY
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State | OH
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Zip | 43935-1691
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Country | US
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Telephone | 740-633-6332
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Fax | 740-633-4446
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Provider Business Mailing Address
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Address Line | 92 N 4TH ST SUITE 22
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City | MARTINS FERRY
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State | OH
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Zip | 43935-1691
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Country | US
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Telephone | 740-633-6332
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Fax | 740-633-4446
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Authorized Official
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Title or Position | OWNER
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Name | RENATO F DELACRUZ
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Credential | M.D.
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Telephone | 740-633-6332
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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 | 35060832
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License Number State | OH
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