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General NPI Number Information
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NPI Number | 1891126009
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Entity Type | Organization
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Legal Business Name | DELAWARE VALLEY HOSPITAL, INC.
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Dates
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Enumeration Date | 12/13/2013
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Last Update Date | 08/07/2014
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Provider Practice Location Address
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Address Line | 121 STOCKTON AVE
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City | WALTON
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State | NY
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Zip | 13856-1430
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Country | US
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Telephone | 607-865-2781
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Fax | 607-865-2789
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Provider Business Mailing Address
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Address Line | 121 STOCKTON AVE
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City | WALTON
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State | NY
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Zip | 13856-1430
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Country | US
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Telephone | 607-763-1835
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Fax | 607-729-0182
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | DRU CAVANAGH
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Credential |
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Telephone | 607-865-2162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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