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NPI Code Detail

MEDICARE: DELILAH IRENE VANCINI

MEDICARE:   DELILAH IRENE VANCINI
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
1235Z00000XSpeech-Language Pathologist119022TX

General Provider Information

NPI Number : 1841962735
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELILAH IRENE VANCINI
Provider Business Mailing Address
First Line : 601 PATTON BLVD APT 269
Second Line :
City : PLANO
State : TX
Zip : 75075-8943
Country : US
Telephone Number : 903-424-4693
Fax Number :
Provider Business Practice Location Address
First Line : 900 JUNCTION DR
Second Line :
City : ALLEN
State : TX
Zip : 75013-5290
Country : US
Telephone Number : 469-675-3153
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2021
Last Update Date : 09/29/2021

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Directions to “ DELILAH IRENE VANCINI ” Practice Location

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