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Showing codes 1548351802 — 1437240702
1548351802 -
OB-GYN ASSOCIATES OF N VA LTD
Other Name
:
Mailing Address
:
6355 WALKER LN
SUITE 408
ALEXANDRIA
VA
22310-3245
Phone
: 703-719-5901;
Fax
: 703-719-9629;
Practice Location Address
:
6355 WALKER LN
, SUITE 408
, ALEXANDRIA
, VA
, 22310-3245
Practice Phone
: 703-719-5901;
Practice Fax
: 703-719-9629
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1457442717 -
SARAH
R
MURPHY
MD
Other Name
:
Mailing Address
:
1122 KENILWORTH DR
STE 317
BALTIMORE
MD
21204-2146
Phone
: 410-296-4616;
Fax
: 410-337-5068;
Practice Location Address
:
4600 VALLEY ROAD
, SUITE 200
, LINCOLN
, NE
, 68510-4844
Practice Phone
: 402-483-4571;
Practice Fax
: 402-483-5079
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1366533622 -
DR.
DR.
AIMEE
F
WHEATON
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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1275624538 -
MRS.
MRS.
BRANDI
M
CARNEY
LCSW
Other Name
:
Mailing Address
:
186 SOUNDVIEW RD
HUNTINGTON
NY
11743
Phone
: 631-796-5803;
Fax
: ;
Practice Location Address
:
VA MEDICAL CENTER
, 75 MIDDLEVILLE RD
, NORTHPORT
, NY
, 11768
Practice Phone
: 631-774-1984;
Practice Fax
:
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1184715443 -
CYNTHIA
A
WEAVER
PHD
Other Name
:
Mailing Address
:
410 W CHURCH ST
ELMIRA
NY
14901
Phone
: 607-737-1235;
Fax
: 607-735-9617;
Practice Location Address
:
410 W CHURCH ST
,
, ELMIRA
, NY
, 14901
Practice Phone
: 607-737-1235;
Practice Fax
: 607-735-9617
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1992896252 -
WAL-MART STORES EAST, LP
Other Name
:
Mailing Address
:
702 SW 8TH ST.
BENTONVILLE
AR
72716-0235
Phone
: ;
Fax
: ;
Practice Location Address
:
1485 COMMERCIAL WAY
,
, SPRING HILL
, FL
, 34606-4525
Practice Phone
: 352-686-0744;
Practice Fax
:
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1801987169 -
DR.
DR.
CLIFFORD
LAWRENCE
SMITH
MD
Other Name
:
Mailing Address
:
12720 MCMANUS BLVD
SUITE 305
NEWPORT NEWS
VA
23602-4414
Phone
: 757-947-3170;
Fax
: 757-947-3180;
Practice Location Address
:
12720 MCMANUS BLVD
, SUITE 305
, NEWPORT NEWS
, VA
, 23602-4414
Practice Phone
: 757-947-3170;
Practice Fax
: 757-947-3180
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1710078076 -
JERILYN
MARIE
LATINI
MD
Other Name
:
Mailing Address
:
1400 VFW PKWY
MAIL CODE WX-112
WEST ROXBURY
MA
02132-4927
Phone
: 857-203-6551;
Fax
: 857-203-6660;
Practice Location Address
:
1400 VFW PKWY
, MAIL CODE WX-112
, WEST ROXBURY
, MA
, 02132-4927
Practice Phone
: 857-203-6551;
Practice Fax
: 857-203-6660
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1629169982 -
CITY OF FULDA
Other Name
:
Mailing Address
:
PO BOX 372
FULDA
MN
56131-0372
Phone
: 507-425-2504;
Fax
: 507-425-2393;
Practice Location Address
:
305 FRONT ST.
,
, FULDA
, MN
, 56131-0372
Practice Phone
: 507-425-2504;
Practice Fax
: 507-425-2393
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1538250899 -
DR.
DR.
MARK
ELLIOTT
EASTMAN
D.O.
Other Name
:
GERALDINE
TERES
O'SHEA
Mailing Address
:
235 NEW YORK RANCH RD
SUITE B
JACKSON
CA
95642-9403
Phone
: 209-257-1057;
Fax
: 209-257-1058;
Practice Location Address
:
235 NEW YORK RANCH RD
, SUITE B
, JACKSON
, CA
, 95642-9403
Practice Phone
: 209-257-1057;
Practice Fax
: 209-257-1058
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1447341706 -
HAMID
YOUNESI
D.D.S
Other Name
:
Mailing Address
:
73585 FRED WARING DR
SUITE 101
PALM DESERT
CA
92260-7802
Phone
: 760-773-0052;
Fax
: 760-773-0710;
Practice Location Address
:
73585 FRED WARING DRIVE
, SUITE 101
, PALM DESERT
, CA
, 92260
Practice Phone
: 760-773-0052;
Practice Fax
: 760-773-0710
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1356432611 -
TAMMY
R
SCOTT
B.S.
Other Name
:
Mailing Address
:
PO BOX 395
259 WEST MAIN STREET
DECATURVILLE
TN
38329-0395
Phone
: 731-852-3112;
Fax
: 731-852-3222;
Practice Location Address
:
259 W MAIN ST
,
, DECATURVILLE
, TN
, 38329-8033
Practice Phone
: 731-852-3112;
Practice Fax
: 731-852-3222
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1265523526 -
J
CHARLES
SPEED
PA-C
Other Name
:
Mailing Address
:
PO BOX 850
PORT ANGELES
WA
98362-0146
Phone
: 360-565-9237;
Fax
: 360-582-4221;
Practice Location Address
:
800 N 5TH AVE STE 101
,
, SEQUIM
, WA
, 98382-3045
Practice Phone
: 360-565-0999;
Practice Fax
: 360-582-4221
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1174614432 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1083705347 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1891886156 -
MRS.
MRS.
CHRISTINA
MARTINEAU
PA
Other Name
:
CHRISTINA
CARNEIRO
Mailing Address
:
489 POST RD E
WESTPORT
CT
06880-4435
Phone
: 203-226-3600;
Fax
: ;
Practice Location Address
:
23 OLD STONE RD
,
, DARIEN
, CT
, 06820-4419
Practice Phone
: 203-309-5071;
Practice Fax
:
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1700977063 -
MR.
MR.
MATTHEW
E
STARNER
HIS
Other Name
:
Mailing Address
:
1330 S WESTWOOD DR
ZANESVILLE
OH
43701-5651
Phone
: 740-454-5143;
Fax
: ;
Practice Location Address
:
420 GRANVILLE ST
,
, NEWARK
, OH
, 43055-4345
Practice Phone
: 740-344-1201;
Practice Fax
: 740-344-1298
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1619068970 -
JEFFREY
W.
DASSEL
M.D.
Other Name
:
Mailing Address
:
955 POWELL AVE SW
RENTON
WA
98057-2908
Phone
: 425-277-1311;
Fax
: 425-277-1311;
Practice Location Address
:
400 S 2ND ST
,
, RENTON
, WA
, 98057-2007
Practice Phone
: 425-424-6310;
Practice Fax
:
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1528159886 -
SCOTT
FOSTER
ANDERSON
DDS
Other Name
:
Mailing Address
:
2535 GALEN DR.
CHAMPAIGN
IL
61821
Phone
: 217-356-7334;
Fax
: 217-356-0727;
Practice Location Address
:
2535 GALEN DR.
,
, CHAMPAIGN
, IL
, 61821
Practice Phone
: 217-356-7334;
Practice Fax
: 217-356-0727
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1437240793 -
DR.
DR.
EDWIN
L
BOOTH
JR.
DDS
Other Name
:
Mailing Address
:
2100 W. CORNWALLIS DR.
SUITE Q
GREENSBORO
NC
27408
Phone
: 336-282-3400;
Fax
: 336-282-3292;
Practice Location Address
:
2100 W. CORNWALLIS DR.
, SUITE Q
, GREENSBORO
, NC
, 27408
Practice Phone
: 336-282-3400;
Practice Fax
: 336-282-3292
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1346331600 -
BONNIE
BOVAIRD-JEWART
NP
Other Name
:
Mailing Address
:
817 FEDERAL STREET
SUITE 300
CAMDEN
NJ
08103
Phone
: 856-541-5933;
Fax
: 856-541-3340;
Practice Location Address
:
817 FEDERAL STREET
,
, CAMDEN
, NJ
, 08103
Practice Phone
: 856-541-8217;
Practice Fax
: 856-541-4611
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1063503324 -
DR.
DR.
BARRY
LESTER
FEINBERG
MD
Other Name
:
Mailing Address
:
750 PARK AVE
SUITE C
NEW YORK
NY
10021-4252
Phone
: 212-535-8426;
Fax
: 212-570-4619;
Practice Location Address
:
750 PARK AVE
, SUITE C
, NEW YORK
, NY
, 10021-4252
Practice Phone
: 212-535-8426;
Practice Fax
: 212-570-4619
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1972694230 -
DR.
DR.
DAVID
ARTHUR
KAPLAN
D.O.
Other Name
:
Mailing Address
:
4960 N CIMARRON RD
LAS VEGAS
NV
89149-4752
Phone
: 702-658-0377;
Fax
: ;
Practice Location Address
:
4960 N CIMARRON RD
,
, LAS VEGAS
, NV
, 89149-4752
Practice Phone
: 702-658-0377;
Practice Fax
:
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1881785145 -
DR.
DR.
STEVEN
W.
FLANNES
PH.D. CLINICAL PSYCH
Other Name
:
Mailing Address
:
6114 LA SALLE AVE #473
OAKLAND
CA
94611
Phone
: 510-421-3981;
Fax
: 510-654-9319;
Practice Location Address
:
1980 MOUNTAIN BLVD, SUITE 201
,
, OAKLAND
, CA
, 94611
Practice Phone
: 510-421-3981;
Practice Fax
: 510-654-9319
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1699866954 -
KELLY
H
THOMSON
M.A.
Other Name
:
Mailing Address
:
807 LAWN AVE
SELLERSVILLE
PA
18960-1549
Phone
: 215-257-6551;
Fax
: 215-453-5181;
Practice Location Address
:
807 LAWN AVE
,
, SELLERSVILLE
, PA
, 18960-1549
Practice Phone
: 215-257-6551;
Practice Fax
: 215-453-5181
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1508957861 -
ROBERT
GORDON
CANTONWINE
DDS
Other Name
:
Mailing Address
:
4776 CASS ST
SAN DIEGO
CA
92109
Phone
: 858-270-1922;
Fax
: 858-270-0031;
Practice Location Address
:
4776 CASS ST
,
, SAN DIEGO
, CA
, 92109
Practice Phone
: 858-270-1922;
Practice Fax
: 858-270-0031
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1417048778 -
DR.
DR.
MERLE
HARRY
PARKER
D.D.S.
Other Name
:
Mailing Address
:
5114 FAIRINGTON DR
EVANS
GA
30809-7012
Phone
: 706-860-3105;
Fax
: ;
Practice Location Address
:
1 FREEDOM WAY
,
, AUGUSTA
, GA
, 30904-6258
Practice Phone
: 706-733-0188;
Practice Fax
:
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1326139684 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1235220591 -
DR.
DR.
BRIAN
S
NORTHCUTT
MD
Other Name
:
Mailing Address
:
PO BOX 6234
LINCOLN
NE
68506-0234
Phone
: 402-613-2945;
Fax
: ;
Practice Location Address
:
1337 S FOUNTAIN DR
,
, OLATHE
, KS
, 66061-7205
Practice Phone
: 913-397-7801;
Practice Fax
: 913-397-7801
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1144311408 -
HERITAGE CHIROPRACTIC CLINC INC
Other Name
:
Mailing Address
:
2407 LENORA CHURCH ROAD
SNELLVILLE
GA
60078-6916
Phone
: 770-979-2731;
Fax
: 770-972-2978;
Practice Location Address
:
2407 LENORA CHURCH ROAD
,
, SNELLVILLE
, GA
, 30078-6916
Practice Phone
: 770-979-2731;
Practice Fax
: 770-972-2978
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1053402313 -
DR.
DR.
SUNIL
K
SINGH
DMD
Other Name
:
Mailing Address
:
175 WHITE ST NW STE 300
MARIETTA
GA
30060-7901
Phone
: 770-422-6521;
Fax
: 317-721-7662;
Practice Location Address
:
1103 GABLES DR NE
,
, ATLANTA
, GA
, 30319-4190
Practice Phone
: 317-721-7662;
Practice Fax
: 317-721-7662
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1962593228 -
MS.
MS.
DEBORAH
H
JONES-SHOOK
C.R.N.P.
Other Name
:
DEBORAH
H
JONES
Mailing Address
:
PO BOX 418953
BOSTON
MA
02241-8953
Phone
: ;
Fax
: ;
Practice Location Address
:
9 SCHILLING RD
,
, HUNT VALLEY
, MD
, 21031-1191
Practice Phone
: 410-771-9220;
Practice Fax
:
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1871684134 -
DR.
DR.
JENNIFER
SARA
SCHAUMBERG
Other Name
:
Mailing Address
:
701 E COMMERCIAL BLVD
OAKLAND PARK
FL
33334-3391
Phone
: 954-772-9995;
Fax
: 954-772-0614;
Practice Location Address
:
701 E COMMERCIAL BLVD
,
, OAKLAND PARK
, FL
, 33334-3391
Practice Phone
: 954-772-9995;
Practice Fax
: 954-772-0614
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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
:
205B NORTH MORRIS STREET
P.O. BOX 155
OXFORD
MD
21654
Phone
: 410-310-6864;
Fax
: ;
Practice Location Address
:
205B N MORRIS ST
, P.O. BOX 155
, OXFORD
, MD
, 21654-1321
Practice Phone
: 410-310-6864;
Practice Fax
:
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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
:
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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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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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 -
ALAN
R.
GO,
M.D.
Other Name
:
Mailing Address
:
127 S BROADWAY STE 400-4A
YONKERS
NY
10701-4006
Phone
: 914-378-7800;
Fax
: 914-378-8599;
Practice Location Address
:
127 S BROADWAY STE 400-4A
,
, YONKERS
, NY
, 10701-4006
Practice Phone
: 914-378-7800;
Practice Fax
: 914-378-8599
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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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|
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|
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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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|
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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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|
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|
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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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|
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1922199298 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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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
: ;
Practice Fax
:
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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
: ;
Practice Fax
:
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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
:
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
: ;
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:
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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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