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Showing codes 1780775049 — 1053402339
1780775049 -
DR.
DR.
STEPHEN
REECE
LINCOLN
MD
Other Name
:
Mailing Address
:
GIVF PAYMENT/CORRESPONDENCE ADDRESS
PO BOX 75499
BALTIMORE
MD
21275-5499
Phone
: 703-289-1977;
Fax
: 703-698-3977;
Practice Location Address
:
GIVF
, 3015 WILLIMAS DR. # 300
, FAIRFAX
, VA
, 22031
Practice Phone
: 703-289-1977;
Practice Fax
: 703-698-3977
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1699866962 -
DR.
DR.
SUNITA
KULSHRESTHA
MD
Other Name
:
Mailing Address
:
GIVF PAYMENT/CORRESPONDENCE ADDRESS
PO BOX 75499
BALTIMORE
MD
21275-5499
Phone
: 703-289-1977;
Fax
: 703-698-3977;
Practice Location Address
:
GIVF
, 3015 WILLIAMS # 300
, FAIRFAX
, VA
, 22031
Practice Phone
: 703-289-1977;
Practice Fax
: 703-698-3977
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1508957879 -
DR.
DR.
DONALD
PETER
MARAZZO
MD
Other Name
:
Mailing Address
:
GIVF PAYMENT AND CORRESPONDENCE ADDRESS
PO BOX 75499
BALTIMORE
MD
21275-5499
Phone
: 703-289-1977;
Fax
: 703-698-3977;
Practice Location Address
:
GIVF
, 3015 WILLIAMS DR. #300
, FAIRFAX
, VA
, 22301
Practice Phone
: 703-289-1977;
Practice Fax
: 703-698-3977
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1417048786 -
DR.
DR.
HARVEY
JAY
STERN
MD
Other Name
:
Mailing Address
:
GIVF PAYMENT/CORRESPONDENCE ADDRESS
PO BOX 17016
BALTIMORE
MD
21297-1016
Phone
: 703-289-1977;
Fax
: 703-698-3977;
Practice Location Address
:
GIVF
, 3015 WILLIAMS DR. #300
, FAIRFAX
, VA
, 22031
Practice Phone
: 703-289-1977;
Practice Fax
: 703-697-3977
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1326139692 -
JOSEPH
D
SCHULMAN
MD
Other Name
:
Mailing Address
:
GIVF PAYMENT/CORRESPONDENCE ADDRESS
PO BOX 75499
BALTIMORE
MD
21275-5499
Phone
: 703-289-1977;
Fax
: 703-698-3977;
Practice Location Address
:
GIVF
, 3015 WILLIAMS DR. # 300
, FAIRFAX
, VA
, 22031
Practice Phone
: 703-289-1977;
Practice Fax
: 703-698-3977
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|
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1235220500 -
DR.
DR.
DINESH
K.
CHOUDHRY
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1144311416 -
DR.
DR.
DEBORAH
M.
CONSOLINI
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1053402321 -
DR.
DR.
DEBORAH
ANN
DAVIS
MD
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1962593236 -
DR.
DR.
CHRISTOPHER
D.
DERBY
MD
Other Name
:
Mailing Address
:
PO BOX 191
ROCKLAND
DE
19732-0191
Phone
: ;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND RD
,
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
:
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1871684142 -
MRS.
MRS.
COLLEEN
P.
DITRO
APN
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1780775056 -
DR.
DR.
DANIEL
A.
DOYLE
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1598856866 -
MRS.
MRS.
DEBORAH
A.
FATTORI
APN
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1407947773 -
N & R OF CAMBRIDGE LLC
Other Name
:
CAMBRIDGE PLACE
Mailing Address
:
329 TOWNEPARK CIR
SUITE 100
LOUISVILLE
KY
40243-2348
Phone
: 502-254-9525;
Fax
: 502-254-9919;
Practice Location Address
:
2020 CAMBRIDGE DR
,
, LEXINGTON
, KY
, 40504-1912
Practice Phone
: 859-252-6747;
Practice Fax
: 859-255-9914
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1316038680 -
GUNNERSON CHIROPRACTIC INC.
Other Name
:
Mailing Address
:
1325 NW 4TH ST STE 200
GRAND RAPIDS
MN
55744-2209
Phone
: 218-326-4022;
Fax
: ;
Practice Location Address
:
1325 NW 4TH ST STE 200
,
, GRAND RAPIDS
, MN
, 55744-2209
Practice Phone
: 218-326-4022;
Practice Fax
:
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1225129596 -
DR.
DR.
NATHAN
THOMAS
HUTCHINSON
D.C.
Other Name
:
Mailing Address
:
147 BAKER DR
PLEASANT HILLS
PA
15236-3701
Phone
: 412-414-2189;
Fax
: ;
Practice Location Address
:
2020 ARDMORE BLVD
, 3 PARKWAY CENTER EAST, SUITE169
, PITTSBURGH
, PA
, 15221-4608
Practice Phone
: 412-351-2100;
Practice Fax
: 412-351-6997
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1134210404 -
DR.
DR.
GEORGE
M
ASH
D.D.S., M.S.
Other Name
:
Mailing Address
:
5770 WARREN RD
ANN ARBOR
MI
48105-9425
Phone
: 734-747-9126;
Fax
: 734-747-8101;
Practice Location Address
:
5770 WARREN RD
,
, ANN ARBOR
, MI
, 48105-9425
Practice Phone
: 734-747-9126;
Practice Fax
: 734-747-8101
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1043301310 -
CHRISTOPHER
THOMPSON
Other Name
:
Mailing Address
:
2502 NORTH ROCKY POINT DRIVE
SUITE 1000-CREDENTIALING
TAMPA
FL
33607
Phone
: ;
Fax
: ;
Practice Location Address
:
2500 W. LAKE MARY BLVD,
, SUITE 106
, LAKE MARY
, FL
, 32746
Practice Phone
: 407-328-6411;
Practice Fax
:
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1952492225 -
HUCHUN
HU
MD
Other Name
:
Mailing Address
:
PO BOX 16052
READING ANESTHESIA ASSOCIATES LTD
READING
PA
19612-6052
Phone
: 610-988-8589;
Fax
: 610-988-5976;
Practice Location Address
:
6TH AVE & SPRUCE STREET
, READING ANESTHESIA ASSOCIATES LTD
, WEST READING
, PA
, 19611
Practice Phone
: 610-988-8589;
Practice Fax
: 610-988-5976
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1861583130 -
MEDS-1 AMBULANCE SERVICE
Other Name
:
Mailing Address
:
1328 NW 5TH STREET
GRAND RAPIDS
MN
55744
Phone
: 218-326-0020;
Fax
: 218-326-1402;
Practice Location Address
:
1328 NW 5TH STREET
,
, GRAND RAPIDS
, MN
, 55744
Practice Phone
: 218-326-0020;
Practice Fax
: 218-326-1402
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1689765950 -
MS.
MS.
EDITH
D
BURKEY
PA-C
Other Name
:
Mailing Address
:
CORPORATE CREDENTIALING
P.O. BOX 269
WILMINGTON
DE
19899
Phone
: 302-651-5938;
Fax
: 302-651-6077;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-5510
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1497846760 -
DR.
DR.
EDWARD
J.
CULLEN
JR.
D.O.
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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|
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1306937677 -
DR.
DR.
DIVYA
DIXIT
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1851482129 -
DR.
DR.
ROBERT
WILLIAM
BETCHER
M.D.. PH.D.
Other Name
:
Mailing Address
:
38 OAKLAND AVE
NEEDHAM
MA
02492-3150
Phone
: 781-449-5274;
Fax
: 781-449-5268;
Practice Location Address
:
38 OAKLAND AVE
,
, NEEDHAM
, MA
, 02492-3150
Practice Phone
: 781-449-5274;
Practice Fax
: 781-449-5268
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1760573034 -
BARNSTABLE COUNSELING ASSOCIATES, LLC
Other Name
:
Mailing Address
:
923 ROUTE 6A UNIT N
YARMOUTH PORT
MA
02675-2159
Phone
: 508-362-4250;
Fax
: 508-362-5150;
Practice Location Address
:
923 ROUTE 6A UNIT N
,
, YARMOUTH PORT
, MA
, 02675-2159
Practice Phone
: 508-362-4250;
Practice Fax
: 508-362-5150
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1679664940 -
SUZANNE
D
HUDSON
LPC
Other Name
:
Mailing Address
:
1409 OLD DOMINION BLVD
BEDFORD
VA
24523-3285
Phone
: 540-586-5429;
Fax
: ;
Practice Location Address
:
1409 OLD DOMINION BLVD
,
, BEDFORD
, VA
, 24523-3285
Practice Phone
: 540-586-5429;
Practice Fax
:
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1588755854 -
DR.
DR.
MICHAEL
E.
GOLDSMITH
M.D.
Other Name
:
Mailing Address
:
5530 WISCONSIN AVE
SUITE 1660
CHEVY CHASE
MD
20815-4404
Phone
: 301-657-9876;
Fax
: 301-657-8240;
Practice Location Address
:
5530 WISCONSIN AVE
, SUITE 1660
, CHEVY CHASE
, MD
, 20815-4404
Practice Phone
: 301-657-9876;
Practice Fax
: 301-657-8240
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1396836664 -
DEBRA
L
TEETER
PTA
Other Name
:
Mailing Address
:
11628 OLD BALLAS RD
SAINT LOUIS
MO
63141-7030
Phone
: 314-996-3500;
Fax
: 314-996-3501;
Practice Location Address
:
11628 OLD BALLAS RD
,
, SAINT LOUIS
, MO
, 63141-7030
Practice Phone
: 314-996-3500;
Practice Fax
: 314-996-3501
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1205927571 -
GATEWAY PHARMACY LLC
Other Name
:
GATEWAY PHARMACY SOUTH
Mailing Address
:
PO BOX 994
BISMARCK
ND
58502-0994
Phone
: 701-223-1656;
Fax
: 701-223-9628;
Practice Location Address
:
835 S WASHINGTON ST
, SUITE #2
, BISMARCK
, ND
, 58504-5477
Practice Phone
: 701-223-1656;
Practice Fax
: 701-223-9628
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1114018488 -
DR.
DR.
MARCIA
GAIL
BLACK
PHD
Other Name
:
Mailing Address
:
9 RESEARCH DR STE 1A
AMHERST
MA
01002-2775
Phone
: 413-687-7559;
Fax
: 413-687-7559;
Practice Location Address
:
9 RESEARCH DR
,
, AMHERST
, MA
, 01002-2774
Practice Phone
: 413-687-7559;
Practice Fax
:
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1023109394 -
DR.
DR.
ALAN
R.
GO
M.D.
Other Name
:
Mailing Address
:
121 DEKALB AVE
BROOKLYN
NY
11201-5425
Phone
: 718-250-6859;
Fax
: 718-250-6080;
Practice Location Address
:
121 DEKALB AVE
,
, BROOKLYN
, NY
, 11201-5425
Practice Phone
: 718-250-6859;
Practice Fax
: 718-250-6080
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1932290202 -
PLISKIN & SPIRITO ASSOCIATES PC
Other Name
:
Mailing Address
:
PO BOX 2200
AMHERST
NH
03031-4200
Phone
: 603-673-9411;
Fax
: 603-673-9899;
Practice Location Address
:
33 BARTLETT ST
,
, LOWELL
, MA
, 01852-1334
Practice Phone
: 978-458-4300;
Practice Fax
: 978-458-4311
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1841381118 -
WARWICK
C
DELL
O.D.
Other Name
:
Mailing Address
:
8151 HIXSON PIKE
HIXSON
TN
37343-1801
Phone
: 423-847-0498;
Fax
: 423-847-0499;
Practice Location Address
:
8151 HIXSON PIKE
,
, HIXSON
, TN
, 37343-1801
Practice Phone
: 423-847-0498;
Practice Fax
: 423-847-0499
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1750472023 -
MR.
MR.
PETER
RUNICH
PA-C
Other Name
:
Mailing Address
:
302 SANDLEWOOD DR.
DURHAM
NC
27712
Phone
: 919-471-8172;
Fax
: ;
Practice Location Address
:
508 FULTON ST.
,
, DURHAM
, NC
, 27705
Practice Phone
: 919-286-0411;
Practice Fax
: 919-416-5857
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1669563938 -
DR.
DR.
JEANNE
MARIE
BAFFA
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1578654844 -
DR.
DR.
J.
RICHARD
BOWEN
MD
Other Name
:
Mailing Address
:
P.O. BOX 191
ROCKLAND
DE
19723-0191
Phone
: 302-651-4000;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND ROAD
,
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-5951
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1487745758 -
MS.
MS.
EILEEN
P
BRIENING
APN
Other Name
:
EILEEN
TOY
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPARTMENT
WILMINGTON
DE
19899-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND RD
, NEMOURS DUPONT PEDIATRICS
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-5365
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1295826568 -
DR.
DR.
JANE
A.
CROWLEY
PSYD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1104917475 -
DR.
DR.
GEORGE
A.
DATTO III
MD
Other Name
:
Mailing Address
:
P.O. BOX 191
ROCKLAND
DE
19723-0191
Phone
: 302-651-4000;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND ROAD
,
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-5948
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1013008382 -
DR.
DR.
ELLEN
S.
DEUTSCH
MD
Other Name
:
Mailing Address
:
NEMOURS CHILDRENS CLINIC
P.O. BOX 404112
ATLANTA
GA
30384-0001
Phone
: 904-390-3610;
Fax
: 904-288-5890;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-5895;
Practice Fax
: 302-651-4945
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1922199298 -
DR.
DR.
STEPHEN
R
NEECE
MD
Other Name
:
Mailing Address
:
9 MEDICAL PKWY STE 108
FARMERS BRANCH
TX
75234-7868
Phone
: 972-803-8270;
Fax
: ;
Practice Location Address
:
6101 WINDHAVEN PKWY STE 145
,
, PLANO
, TX
, 75093-8198
Practice Phone
: 469-613-0843;
Practice Fax
: 888-689-4268
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1831280106 -
VIRGINIA
AFMAN
M.S.W.
Other Name
:
Mailing Address
:
807 LAWN AVE
SELLERSVILLE
PA
18960-1549
Phone
: 215-257-6551;
Fax
: 215-257-9347;
Practice Location Address
:
807 LAWN AVE
,
, SELLERSVILLE
, PA
, 18960-1549
Practice Phone
: 215-257-6551;
Practice Fax
: 215-257-9347
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1740371012 -
DR.
DR.
RICHARD
D.
GOLDNER
M.D.
Other Name
:
Mailing Address
:
3480 DUKE MEDICAL CTR
DURHAM
NC
27710-0001
Phone
: 919-684-6461;
Fax
: 919-668-3017;
Practice Location Address
:
3480 DUKE MEDICAL CTR
,
, DURHAM
, NC
, 27710-0001
Practice Phone
: 919-684-6461;
Practice Fax
: 919-668-3017
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1659462927 -
MS.
MS.
SMITA
POKLE-SOANS
LMP
Other Name
:
Mailing Address
:
PO BOX 2131
ISSAQUAH
WA
98027-0095
Phone
: 425-392-4673;
Fax
: 425-391-1174;
Practice Location Address
:
3707 PROVIDENCE POINT DR SE STE D
,
, ISSAQUAH
, WA
, 98029-6216
Practice Phone
: 425-392-4673;
Practice Fax
: 425-391-1174
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1568553832 -
DR.
DR.
JOSE
I
FELICIANO
MD
Other Name
:
Mailing Address
:
#165 URB CIUDAD JARDIN
GURABO
PR
00778-9672
Phone
: 787-852-4910;
Fax
: 787-852-4910;
Practice Location Address
:
7 WEST DUFRESNE STREET
,
, HUMACAO
, PR
, 00791
Practice Phone
: 787-852-4910;
Practice Fax
: 787-852-4910
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1477644748 -
SHEILA
MUNDY
MD
Other Name
:
Mailing Address
:
110 S 12TH ST
PO BOX 890
WACO
TX
76701-1810
Phone
: 254-297-7004;
Fax
: ;
Practice Location Address
:
110 S 12TH ST
,
, WACO
, TX
, 76701-1810
Practice Phone
: 254-297-7004;
Practice Fax
:
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1386735652 -
DR.
DR.
DEANNE
LANSDELL
VAIL
D.M.D
Other Name
:
Mailing Address
:
1752 OXMOOR RD
HOMEWOOD
AL
35209-4056
Phone
: 205-868-4577;
Fax
: 205-868-4579;
Practice Location Address
:
1752 OXMOOR RD
,
, HOMEWOOD
, AL
, 35209-4056
Practice Phone
: 205-868-4577;
Practice Fax
: 205-868-4579
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1194816462 -
MS.
MS.
TSEDEKEWORK
BEKELE
MS.,RD
Other Name
:
Mailing Address
:
50 IRVING ST NW
WASHINGTON
DC
20422-0001
Phone
: 202-745-8190;
Fax
: ;
Practice Location Address
:
50 IRVING ST NW
,
, WASHINGTON
, DC
, 20422-0001
Practice Phone
: 202-745-8190;
Practice Fax
:
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1003907379 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1912098286 -
DONALD
BARRY
KOHN
MD
Other Name
:
Mailing Address
:
6430 W SUNSET BLVD
SUITE 600
LOS ANGELES
CA
90028-7901
Phone
: 323-669-2337;
Fax
: 323-644-8488;
Practice Location Address
:
4650 W SUNSET BLVD
, MS# 62
, LOS ANGELES
, CA
, 90027-6062
Practice Phone
: 323-669-4559;
Practice Fax
: 323-660-1904
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1821189192 -
CABANA PHARMACY , INC
Other Name
:
Mailing Address
:
5201 PINE TREE DR
MIAMI BEACH
FL
33140-2109
Phone
: 305-229-9685;
Fax
: 305-573-9575;
Practice Location Address
:
119 NW 29TH ST
,
, MIAMI
, FL
, 33127-3951
Practice Phone
: 305-573-8172;
Practice Fax
: 305-573-9575
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1649361916 -
WENDY
STEWART
PHD
Other Name
:
Mailing Address
:
88 NOBLE AVE
SUITE 201
MILFORD
CT
06460
Phone
: 203-876-1932;
Fax
: 203-877-2652;
Practice Location Address
:
88 NOBLE AVE
, SUITE 201
, MILFORD
, CT
, 06460
Practice Phone
: 203-876-1932;
Practice Fax
: 203-877-2652
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1558452821 -
ELISA
M
PRISCAL
OTR
Other Name
:
Mailing Address
:
1418 MICHIGAN AVE
MIAMI BEACH
FL
33139-3825
Phone
: ;
Fax
: ;
Practice Location Address
:
1611 NW 12TH AVE
,
, MIAMI
, FL
, 33136-1005
Practice Phone
: 305-585-6985;
Practice Fax
:
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1467543736 -
JAN
D
COFER
P.T.
Other Name
:
Mailing Address
:
8000 TOBIN PL
RALEIGH
NC
27612-1915
Phone
: 919-417-0801;
Fax
: ;
Practice Location Address
:
8000 TOBIN PL
,
, RALEIGH
, NC
, 27612-1915
Practice Phone
: 919-417-0801;
Practice Fax
:
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1376634642 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1285725556 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
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:
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1093806366 -
DR.
DR.
BETH
L
ARONSON
M.D.
Other Name
:
Mailing Address
:
15499 CRAPE MYRTLE RD
MILTON
DE
19968-9606
Phone
: 202-934-7417;
Fax
: ;
Practice Location Address
:
124 SLADE AVE STE 210
,
, BALTIMORE
, MD
, 21208-4991
Practice Phone
: 410-486-6540;
Practice Fax
:
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1902997273 -
MS.
MS.
REBECCA
DENISON
R.D., L.D., C.D.E.
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6565 N CHARLES ST
, STE 507
, BALTIMORE
, MD
, 21204-6800
Practice Phone
: 443-849-2036;
Practice Fax
:
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1811088180 -
SAM'S CLUB OPTICAL
Other Name
:
SAM'S CLUB OPTICAL
Mailing Address
:
702 SW 8TH STREET
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
3450 STEVE REYNOLDS BLVD
,
, DULUTH
, GA
, 30096-4510
Practice Phone
: 770-497-1165;
Practice Fax
:
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1720179096 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1639260904 -
DR.
DR.
JONATHAN
E.
BENNETT
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1548351810 -
MS.
MS.
JOAN
L.
BLAIR
APN
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1457442725 -
DR.
DR.
JEFFREY
W.
CAMPBELL
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1174614440 -
D & L MEDICAL SERVICES CORP
Other Name
:
Mailing Address
:
555 E 25TH ST
SUITE 205
HIALEAH
FL
33013-3848
Phone
: 305-696-3057;
Fax
: 305-696-3067;
Practice Location Address
:
555 E 25TH ST
, SUITE 205
, HIALEAH
, FL
, 33013-3848
Practice Phone
: 305-696-3057;
Practice Fax
: 305-696-3067
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1891886164 -
DR.
DR.
STEPHANIE
M
WELLER
M.D.
Other Name
:
Mailing Address
:
1945 W WILSON AVE STE 4000
CHICAGO
IL
60640-5255
Phone
: 773-736-6220;
Fax
: 773-736-3941;
Practice Location Address
:
1945 W WILSON AVE STE 4000
,
, CHICAGO
, IL
, 60640-5255
Practice Phone
: 773-736-6220;
Practice Fax
: 773-736-3941
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1700977071 -
MUPHY'S PHARMACY, INC
Other Name
:
Mailing Address
:
PO BOX 517
LITCHFIELD
CT
06759-0517
Phone
: 860-567-8325;
Fax
: 860-567-2183;
Practice Location Address
:
59 WEST STREET
,
, LITCHFIELD
, CT
, 06759
Practice Phone
: 860-567-8325;
Practice Fax
: 860-567-2183
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1619068988 -
DR.
DR.
JOSE
F.
DELROSARIO
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1528159894 -
PHILIP
LUNDQUIST
RPT
Other Name
:
Mailing Address
:
101 SHOREWOOD DR APT 23
INTERNATIONAL FALLS
MN
56649-2126
Phone
: ;
Fax
: ;
Practice Location Address
:
1402 HIGHWAY 71
,
, INTERNATIONAL FALLS
, MN
, 56649-2154
Practice Phone
: 763-689-5385;
Practice Fax
:
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1437240702 -
CAN THANH NGO, MD, INC.
Other Name
:
Mailing Address
:
210 N TUSTIN AVE
SANTA ANA
CA
92705-3807
Phone
: 800-883-7243;
Fax
: 714-647-1245;
Practice Location Address
:
9080 COLIMA RD
,
, WHITTIER
, CA
, 90605-1600
Practice Phone
: 800-883-7243;
Practice Fax
:
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1346331618 -
DR.
DR.
MARY
ANNE
WHITLOCK
D.C.
Other Name
:
Mailing Address
:
115 CHARLES CT
ATHENS
GA
30605-5722
Phone
: 706-552-0653;
Fax
: ;
Practice Location Address
:
2 S MAIN ST
, SUITE 204
, WATKINSVILLE
, GA
, 30677-7101
Practice Phone
: 706-769-0233;
Practice Fax
:
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1255422523 -
MR.
MR.
GEORGE
M
HAYNER
PA-C
Other Name
:
Mailing Address
:
PO BOX 208058
NEW HAVEN
CT
06520-8058
Phone
: 203-500-3851;
Fax
: ;
Practice Location Address
:
20 YORK ST
,
, NEW HAVEN
, CT
, 06510-3220
Practice Phone
: 203-785-2815;
Practice Fax
: 203-737-8035
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1164513438 -
CHRISTOPHER
MICHELS
P.T.M.S.
Other Name
:
Mailing Address
:
475 NORTHERN BLVD
SUITE 11
GREAT NECK
NY
11021-4802
Phone
: 516-466-7720;
Fax
: 516-466-7723;
Practice Location Address
:
475 NORTHERN BLVD
, SUITE 11
, GREAT NECK
, NY
, 11021-4802
Practice Phone
: 516-466-7720;
Practice Fax
: 516-466-7723
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1073604344 -
MRS.
MRS.
SANDRA
SKELLIE
BRUNS
OTR/L
Other Name
:
Mailing Address
:
25 SLEEPY HOLLOW DRIVE
ASHEVILLE
NC
28805-1533
Phone
: 828-273-1334;
Fax
: 828-298-6930;
Practice Location Address
:
25 SLEEPY HOLLOW DRIVE
,
, ASHEVILLE
, NC
, 28805-1533
Practice Phone
: 828-273-1334;
Practice Fax
: 828-298-6930
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1982795258 -
PLANNED PARENTHOOD ASSOCIATION OF CAMERON AND WILLACY COUNTIES
Other Name
:
Mailing Address
:
104 BABCOCK RD
SAN ANTONIO
TX
78201-3806
Phone
: 210-736-2244;
Fax
: 210-736-0011;
Practice Location Address
:
313 E 1ST ST
,
, ALICE
, TX
, 78332-4836
Practice Phone
: 361-664-0831;
Practice Fax
: 361-668-0578
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1790876068 -
BARBARA
J
HANNA
M.D.
Other Name
:
Mailing Address
:
608 MARTIN LUTHER KING DR
HOBSON CITY
AL
36201-7344
Phone
: 256-832-0100;
Fax
: 256-832-0327;
Practice Location Address
:
608 MARTIN LUTHER KING DR
,
, HOBSON CITY
, AL
, 36201-7344
Practice Phone
: 256-832-0100;
Practice Fax
: 256-832-0327
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1609967975 -
DR.
DR.
LOUIS
VINCENT
GUARIGLIA
D.D.S.
Other Name
:
Mailing Address
:
111 EAST AVE
SUITE 200
NORWALK
CT
06851-5014
Phone
: 203-866-8585;
Fax
: 203-852-1187;
Practice Location Address
:
111 EAST AVE
, SUITE 200
, NORWALK
, CT
, 06851-5014
Practice Phone
: 203-866-8585;
Practice Fax
: 203-852-1187
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1518058882 -
BATYA
SHOSHANA
GEFT
PT
Other Name
:
Mailing Address
:
1224 LOCUST AVE
BROOKLYN
NY
11230-5207
Phone
: 917-613-5601;
Fax
: ;
Practice Location Address
:
1 GUSTAVE L LEVY PL
, BOX 1674
, NEW YORK
, NY
, 10029-6500
Practice Phone
: 212-241-6925;
Practice Fax
:
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1427149798 -
ANDREW
W
POTLER
DO
Other Name
:
Mailing Address
:
780 MAIN ST
STE 1
GT BARRINGTON
MA
01230-2180
Phone
: 413-528-2418;
Fax
: 413-528-2907;
Practice Location Address
:
780 MAIN ST
,
, GT BARRINGTON
, MA
, 01230-2180
Practice Phone
: 413-528-2418;
Practice Fax
: 413-528-2907
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1336230606 -
JEROME
JOHN
STRECKER
PH.D
Other Name
:
Mailing Address
:
PO BOX 835
FRITCH
TX
79036-0835
Phone
: 806-857-2422;
Fax
: ;
Practice Location Address
:
1008 MEGERT CTR
,
, BORGER
, TX
, 79007-2404
Practice Phone
: 806-274-7313;
Practice Fax
: 806-274-4227
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1245321512 -
KATHY
P
FOSTER
RPTA
Other Name
:
Mailing Address
:
201 E CENTENNIAL ST
CLINTON
SC
29325-2529
Phone
: 864-833-3508;
Fax
: 864-833-0458;
Practice Location Address
:
700 PLAZA CIR STE O
,
, CLINTON
, SC
, 29325-7556
Practice Phone
: 864-833-2368;
Practice Fax
: 864-833-0458
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1154412427 -
DANIEL
BRIAN
WEISBECKER
DC
Other Name
:
Mailing Address
:
94-1030 WAIPIO UKA ST
SUITE 104
WAIPAHU
HI
96797-4084
Phone
: 808-671-7887;
Fax
: 808-671-7887;
Practice Location Address
:
94-1030 WAIPIO UKA ST
, SUITE 104
, WAIPAHU
, HI
, 96797-4084
Practice Phone
: 808-671-7887;
Practice Fax
: 808-671-7887
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1063503332 -
SLEEP DIAGNOSTICS CENTER LLC
Other Name
:
THE SLEEP DISORDER CENTER
Mailing Address
:
1000 MEADE ST STE 202
DUNMORE
PA
18512-3197
Phone
: 570-342-0800;
Fax
: 570-969-1200;
Practice Location Address
:
1000 MEADE ST STE 202
,
, DUNMORE
, PA
, 18512-3197
Practice Phone
: 570-342-0800;
Practice Fax
: 570-969-1200
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1972694248 -
KELLY
BURKHOUSE
PHD
Other Name
:
Mailing Address
:
3787 WESTMAN RD
BEMUS POINT
NY
14712-9511
Phone
: 716-499-9245;
Fax
: ;
Practice Location Address
:
500 PINE ST STE 3
,
, JAMESTOWN
, NY
, 14701-5331
Practice Phone
: 716-499-9245;
Practice Fax
:
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1881785152 -
HISTOPATHOLOGY CONSULTANTS, PA
Other Name
:
Mailing Address
:
5901 SW 74TH ST
SUITE 202
MIAMI
FL
33143-5165
Phone
: 305-665-4614;
Fax
: 305-667-0239;
Practice Location Address
:
3663 S MIAMI AVE
,
, MIAMI
, FL
, 33133-4253
Practice Phone
: 305-665-4614;
Practice Fax
: 305-667-0239
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1790876076 -
MS.
MS.
MARY
PATRICIA
FLISTER
CRNA
Other Name
:
Mailing Address
:
811 S LYNNDALE DR
APPLETON
WI
54914-4518
Phone
: 920-202-3691;
Fax
: ;
Practice Location Address
:
811 S LYNNDALE DR
,
, APPLETON
, WI
, 54914-4518
Practice Phone
: 920-202-3691;
Practice Fax
:
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1609967983 -
DR.
DR.
PETER
G
ALLINSON
M.D.
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6701 N CHARLES ST
, RM 4375
, BALTIMORE
, MD
, 21204-6808
Practice Phone
: 443-849-8919;
Practice Fax
:
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1518058890 -
DR.
DR.
RENU
E
THOMAS
M.D.
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6701 N CHARLES ST
, DEPT OF MEDICINE RM 4890
, BALTIMORE
, MD
, 21204-6808
Practice Phone
: 443-849-8046;
Practice Fax
:
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1427149707 -
MRS.
MRS.
PAULA
S
PEARL
C.R.N.P.
Other Name
:
Mailing Address
:
PO BOX 631568
BALTIMORE
MD
21263-1568
Phone
: ;
Fax
: ;
Practice Location Address
:
6569 N CHARLES ST
, STE 205
, BALTIMORE
, MD
, 21204-6831
Practice Phone
: 443-849-3051;
Practice Fax
:
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1336230614 -
WAL-MART STORES EAST, LP
Other Name
:
VISION CENTER 30-0990
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
4965 HIGHWAY 90
,
, MILTON
, FL
, 32571-1408
Practice Phone
: 850-995-0542;
Practice Fax
:
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1245321520 -
DIMENSIONS IN RECOVERY
Other Name
:
Mailing Address
:
207 DIVISION ST. E
BOX 308
MAPLE LAKE
MN
55358
Phone
: 320-963-6865;
Fax
: ;
Practice Location Address
:
33 BIRCH AVE.
,
, MAPLE LAKE
, MN
, 55358
Practice Phone
: 612-267-2493;
Practice Fax
:
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1154412435 -
BRYAN
S
STAFFORD
PA C
Other Name
:
Mailing Address
:
PO BOX 1650
FAMILY HEALTHCARE ASSOC INC
PINEVILLE
WV
24874
Phone
: 304-732-6735;
Fax
: 304-732-9218;
Practice Location Address
:
MAIN ST
, FAMILY HEALTHCARE ASSOC INC
, PINEVILLE
, WV
, 24874
Practice Phone
: 304-732-6735;
Practice Fax
: 304-732-9218
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1063503340 -
MS.
MS.
JUDITH
ADELIZZI-DELANY
APN
Other Name
:
Mailing Address
:
P.O. BOX 191
NEMOURS CHILDREN CLINIC
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1972694255 -
DR.
DR.
JULIA
S.
BARTHOLD
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND RD
, NEMOURS DUPONT PEDIATRICS
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-4945
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1881785160 -
DR.
DR.
KATHLEEN
M.
CRONAN
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT DEPT
ROCKLAND
DE
19732-0191
Phone
: 302-651-6212;
Fax
: 302-651-4945;
Practice Location Address
:
A.I. DUPONT HOSPITAL FOR CHILDREN
, 1600 ROCKLAND ROAD
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1699866970 -
MRS.
MRS.
MARIA
LOPIANO
N.P.
Other Name
:
Mailing Address
:
705 MIDDLETON RD
NORTH ANDOVER
MA
01845-6341
Phone
: 978-556-9060;
Fax
: 978-556-9064;
Practice Location Address
:
1 PARK WAY FL 4
,
, HAVERHILL
, MA
, 01830-6278
Practice Phone
: 978-556-9060;
Practice Fax
: 978-556-9064
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1508957887 -
SAMIRA
ALIABADI
MD
Other Name
:
Mailing Address
:
325 DISTEL CIR
LOS ALTOS
CA
94022-1408
Phone
: 510-386-8211;
Fax
: ;
Practice Location Address
:
4050 DUBLIN BLVD
,
, DUBLIN
, CA
, 94568-3112
Practice Phone
: 925-875-6100;
Practice Fax
:
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1417048794 -
THEODORE
P
YEMM
PT, ATC
Other Name
:
Mailing Address
:
3301 BERRYWOOD DR
SUITE 204
COLUMBIA
MO
65201-6517
Phone
: 573-449-6082;
Fax
: 573-449-0401;
Practice Location Address
:
8790 WATSON RD
, STE 102
, SAINT LOUIS
, MO
, 63119-5140
Practice Phone
: 314-270-8671;
Practice Fax
: 314-270-8673
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1326139601 -
DR.
DR.
MATTHEW
T.
KNIGHT
M.D.
Other Name
:
Mailing Address
:
3400 HIGHWAY 78 E
MEDICAL ARTS TOWER, STE. 504
JASPER
AL
35501-8907
Phone
: 205-221-7099;
Fax
: ;
Practice Location Address
:
3400 HIGHWAY 78 E
, MEDICAL ARTS TOWER, STE. 504
, JASPER
, AL
, 35501-8907
Practice Phone
: 205-221-7099;
Practice Fax
:
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1235220518 -
ARMANDO
A
SAN JUAN
MD
Other Name
:
Mailing Address
:
4201 WINFIELD RD FL 4
WARRENVILLE
IL
60555-4025
Phone
: 331-221-6377;
Fax
: 331-221-2357;
Practice Location Address
:
133 E BRUSH HILL RD STE 308
,
, ELMHURST
, IL
, 60126-5662
Practice Phone
: 331-221-9006;
Practice Fax
: 331-221-2734
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1144311424 -
FAMILY PHYSICIANS OF SOUTHERN INDIANA, P.C.
Other Name
:
Mailing Address
:
2585 CHARLESTOWN RD
NEW ALBANY
IN
47150-2553
Phone
: 812-944-8451;
Fax
: 812-949-2356;
Practice Location Address
:
2585 CHARLESTOWN RD
,
, NEW ALBANY
, IN
, 47150-2553
Practice Phone
: 812-944-8451;
Practice Fax
: 812-949-2356
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1053402339 -
KIMBERLY
M
SMITH
APN
Other Name
:
KIMBERLY
MORGAN
CALNAN
Mailing Address
:
4713 PAPERMILL DR STE 100
KNOXVILLE
TN
37909-1924
Phone
: 865-851-7771;
Fax
: 865-851-7835;
Practice Location Address
:
4713 PAPERMILL DR STE 100
,
, KNOXVILLE
, TN
, 37909-1924
Practice Phone
: 865-851-7771;
Practice Fax
: 865-851-7835
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