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General NPI Number Information
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NPI Number | 1851440697
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Entity Type | Organization
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Legal Business Name | AQUILA OF DELAWARE, INC.
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 6 N RAILROAD AVE
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City | GEORGETOWN
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State | DE
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Zip | 19947-1242
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Country | US
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Telephone | 302-856-9746
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Fax | 302-856-9766
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Provider Business Mailing Address
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Address Line | 6 N RAILROAD AVE
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City | GEORGETOWN
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State | DE
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Zip | 19947-1242
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Country | US
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Telephone | 302-856-9746
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Fax | 302-856-9766
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JOAN CHATTERTON
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Credential | RN, LCSW
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Telephone | 302-856-9746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number | 1991830288
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License Number State | DE
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