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General NPI Number Information
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NPI Number | 1912928797
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Entity Type | Organization
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Legal Business Name | CHRISTIANA CARE HEALTH SERVICES INC
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Dates
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Enumeration Date | 07/21/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4735 OGLETOWN STANTON RD SUITE 1204
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City | NEWARK
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State | DE
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Zip | 19713-2072
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Country | US
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Telephone | 302-653-3850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30170
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City | WILMINGTON
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State | DE
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Zip | 19805-7170
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Country | US
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Telephone | 302-623-7065
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Fax |
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Authorized Official
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Title or Position | SR VP FINANCE
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Name | MR. ROSCOE ELMORE
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Credential |
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Telephone | 302-623-7023
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number |
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License Number State |
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