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NPI Code Detail

MEDICARE: MR. LOUIS CARL DELPRETE INDEPENDENT DUTY COR

MEDICARE: MR. LOUIS CARL DELPRETE INDEPENDENT DUTY COR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11710I1002XIndependent Duty Corpsman

General Provider Information

NPI Number : 1841486586
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. LOUIS CARL DELPRETE INDEPENDENT DUTY COR
Provider Business Mailing Address
First Line : 1227 MCAVOY ST
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-3478
Country : US
Telephone Number : 910-455-4245
Fax Number :
Provider Business Practice Location Address
First Line : 1227 MCAVOY ST
Second Line :
City : JACKSONVILLE
State : NC
Zip : 28540-3478
Country : US
Telephone Number : 910-455-4245
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/17/2007
Last Update Date : 09/17/2007

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Directions to “ MR. LOUIS CARL DELPRETE INDEPENDENT DUTY COR” Practice Location

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