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Showing codes 1417047143 — 1942390687
1417047143 -
OAKVILLE SCHOOL DISTRICT #400
Other Name
:
Mailing Address
:
103 SCHOOL STREET
PO BOX H
OAKVILLE
WA
98568
Phone
: 360-273-5947;
Fax
: ;
Practice Location Address
:
103 SCHOOL STREET
,
, OAKVILLE
, WA
, 98568
Practice Phone
: 360-273-5947;
Practice Fax
:
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1326138058 -
CHILDREN OF TEXAS PEDIATRICS, PA
Other Name
:
Mailing Address
:
10350 BANDERA RD STE 210
SAN ANTONIO
TX
78250-5616
Phone
: 210-688-0088;
Fax
: 210-688-0089;
Practice Location Address
:
10350 BANDERA RD STE 210
,
, SAN ANTONIO
, TX
, 78250-5616
Practice Phone
: 210-688-0088;
Practice Fax
: 210-688-0089
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1235229964 -
MRS.
MRS.
CYNTHIA
MARIE
RAVARI
PA-C
Other Name
:
Mailing Address
:
820 E GREEN BELT DR
SUGAR LAND
TX
77478-2769
Phone
: 713-794-8877;
Fax
: ;
Practice Location Address
:
2002 HOLCOMBE BLVD
,
, HOUSTON
, TX
, 77030-4211
Practice Phone
: 713-794-8877;
Practice Fax
:
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1144310871 -
SANTA FE TRAIL MEDICAL CENTER
Other Name
:
Mailing Address
:
PO BOX 860
TRINIDAD
CO
81082-0860
Phone
: 505-647-8366;
Fax
: 505-647-8381;
Practice Location Address
:
111 WAVERLY AVE
,
, TRINIDAD
, CO
, 81082-2039
Practice Phone
: 505-647-8366;
Practice Fax
: 505-647-8381
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1053401786 -
FELDMAN-RAYFIELD COSMETIC SURGERY
Other Name
:
Mailing Address
:
222 NEW RD
SUITE 6
LINWOOD
NJ
08221-1299
Phone
: 609-601-1000;
Fax
: ;
Practice Location Address
:
222 NEW RD
, SUITE 6
, LINWOOD
, NJ
, 08221-1299
Practice Phone
: 609-601-1000;
Practice Fax
:
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1962592691 -
PEDIATRIC THERAPY SPECIALISTS, PLC
Other Name
:
Mailing Address
:
9673 MAIN ST STE A
FAIRFAX
VA
22031-3761
Phone
: 703-503-5300;
Fax
: 703-503-5387;
Practice Location Address
:
9673 MAIN ST STE A
,
, FAIRFAX
, VA
, 22031-3761
Practice Phone
: 703-503-5300;
Practice Fax
: 703-503-5387
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1871683508 -
DR.
DR.
JAMIE
MARIE
ROACH-DECKER
DDS
Other Name
:
Mailing Address
:
40 MANSFIELD AVE
WILLIMANTIC
CT
06226-2018
Phone
: 860-456-6297;
Fax
: ;
Practice Location Address
:
40 MANSFIELD AVE
,
, WILLIMANTIC
, CT
, 06226-2018
Practice Phone
: 860-450-7471;
Practice Fax
: 860-450-9808
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1780774414 -
DR.
DR.
HERA
MARIA JOHNSTON
COHN-HAFT
M.D.
Other Name
:
Mailing Address
:
805 FARMINGTON AVE
SUITE 212
WEST HARTFORD
CT
06119-1670
Phone
: 860-521-5575;
Fax
: 860-521-5575;
Practice Location Address
:
10 N MAIN ST
, SUITE 212
, WEST HARTFORD
, CT
, 06107-1968
Practice Phone
: 860-521-5575;
Practice Fax
: 860-521-5575
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1598855223 -
TIMOTHY
R
WU
MD
Other Name
:
Mailing Address
:
LAHEY CLINIC
41 MALL ROAD
BURLINGTON
MA
01805-0001
Phone
: 781-744-8000;
Fax
: 781-744-3443;
Practice Location Address
:
LAHEY CLINIC
, 41 MALL ROAD
, BURLINGTON
, MA
, 01805-0001
Practice Phone
: 781-744-8000;
Practice Fax
: 781-744-3443
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1407946130 -
DR.
DR.
JOSEPH
N
BADLISSI
MD
Other Name
:
Mailing Address
:
2400 HIGHWAY 365 STE 112
NEDERLAND
TX
77627-6268
Phone
: 409-724-7900;
Fax
: 409-724-7910;
Practice Location Address
:
2400 HIGHWAY 365 STE 112
,
, NEDERLAND
, TX
, 77627-6268
Practice Phone
: 409-724-7900;
Practice Fax
: 409-724-7910
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1316037047 -
KATHY
ANN
BOE
APNP
Other Name
:
KATHY
ANN
SIMONSON
Mailing Address
:
18601 LINCOLN ST
WHITEHALL
WI
54773-8605
Phone
: 715-538-1712;
Fax
: ;
Practice Location Address
:
18601 LINCOLN ST
,
, WHITEHALL
, WI
, 54773-8605
Practice Phone
: 715-538-1712;
Practice Fax
:
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1225128952 -
JARED
M.
SULLIVAN
M.D.
Other Name
:
Mailing Address
:
10 PIHLMAN PL
CHATHAM
NJ
07928-2707
Phone
: 973-768-7967;
Fax
: 973-778-6014;
Practice Location Address
:
1117 US HIGHWAY 46 STE 202
,
, CLIFTON
, NJ
, 07013-2450
Practice Phone
: 973-779-1221;
Practice Fax
: 973-778-6014
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1134219868 -
LEONARD
J
MCEWEN
MS CMHT
Other Name
:
Mailing Address
:
3407 SHAMROCK COURT
GAUTIER
MS
39553
Phone
: 228-497-0690;
Fax
: 228-497-1363;
Practice Location Address
:
3407 SHAMROCK COURT
,
, GAUTIER
, MS
, 39553
Practice Phone
: 228-497-0690;
Practice Fax
: 228-497-1363
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1043300775 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1952491680 -
CHARLES
F
BENTON
MD
Other Name
:
Mailing Address
:
PO BOX 26666
PHS PROVIDER ENROLLMENT
ALBUQUERQUE
NM
87125-6666
Phone
: 505-923-5356;
Fax
: 505-923-5354;
Practice Location Address
:
PMG ISLETA
, 3436 ISLETA BLVD SW
, ALBUQUERQUE
, NM
, 87105
Practice Phone
: 505-462-7777;
Practice Fax
: 505-462-7880
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1861582595 -
COVENANT HOME CARE
Other Name
:
Mailing Address
:
1223 POTTSVILLE PIKE
SHOEMAKERSVILLE
PA
19555-1719
Phone
: 800-726-8761;
Fax
: 570-385-5287;
Practice Location Address
:
1223 POTTSVILLE PIKE
,
, SHOEMAKERSVILLE
, PA
, 19555-1719
Practice Phone
: 800-726-8761;
Practice Fax
: 570-385-5287
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1770673402 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1689764318 -
DR.
DR.
SHANNON
DAVIS
PHD
Other Name
:
Mailing Address
:
CMR 402 BOX 2555
APO
AE
09180-0026
Phone
: ;
Fax
: ;
Practice Location Address
:
UNIT 33100 BOX LANDSTUHL
,
, APO
, AE
, 09180-3100
Practice Phone
: 314-590-7224;
Practice Fax
:
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1942390679 -
JAMES
I
MCMILLEN
Other Name
:
Mailing Address
:
1001 S MARKET ST
SUITE D
MECHANICSBURG
PA
17055-4748
Phone
: 717-766-4866;
Fax
: ;
Practice Location Address
:
1001 S MARKET ST
, SUITE D
, MECHANICSBURG
, PA
, 17055-4748
Practice Phone
: 717-766-4866;
Practice Fax
:
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1851481584 -
SHANNON
L
WALLACE
FNP-BC, PMHNP-BC
Other Name
:
Mailing Address
:
12670 N RAINEY RD W
SYRACUSE
IN
46567-9784
Phone
: 317-753-6323;
Fax
: ;
Practice Location Address
:
1481 W 10TH ST
,
, INDIANAPOLIS
, IN
, 46202-2803
Practice Phone
: 317-554-0000;
Practice Fax
:
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1760572499 -
DR.
DR.
GARY
X
LANCELOTTA
PH.D.
Other Name
:
Mailing Address
:
14520 SW 77TH ST
MIAMI
FL
33183-2967
Phone
: 305-386-6944;
Fax
: 305-408-9892;
Practice Location Address
:
7301 SW 57TH CT STE 555
,
, SOUTH MIAMI
, FL
, 33143-5334
Practice Phone
: 305-668-7999;
Practice Fax
: 305-668-7988
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1679663306 -
MISS
MISS
DAVIDA
JACQUELINE
SWHARTZ
MSW
Other Name
:
Mailing Address
:
7955 SEAWALL CIR
HUNTINGTON BEACH
CA
92648-5464
Phone
: 714-418-0828;
Fax
: ;
Practice Location Address
:
16490 HARBOR BLVD
, SUITE B
, FOUNTAIN VALLEY
, CA
, 92708-1375
Practice Phone
: 714-418-0828;
Practice Fax
:
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1588754212 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1396835021 -
SUSAN
FRANCES
CAVANAUGH
LCSW
Other Name
:
Mailing Address
:
12 GRANDVIEW ST
# 2
ROSLINDALE
MA
02131-4804
Phone
: 617-288-0970;
Fax
: 617-474-0757;
Practice Location Address
:
1140 DORCHESTER AVE
,
, DORCHESTER
, MA
, 02125-3305
Practice Phone
: 617-288-0970;
Practice Fax
: 617-474-0757
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1205926938 -
DR.
DR.
KIRK
THOMAS
BRADLEY
PT,DPT, M.S., ATC
Other Name
:
Mailing Address
:
13976 E SPARROW HAWK DR
LOCKEFORD
CA
95237-9545
Phone
: 209-727-5594;
Fax
: ;
Practice Location Address
:
2105 W MARCH LN STE 3
,
, STOCKTON
, CA
, 95207-6407
Practice Phone
: 209-951-3265;
Practice Fax
: 209-351-3285
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1114017845 -
INSTITUTO LATINOAMERICANO
Other Name
:
Mailing Address
:
CARR. 2 M-239
VILLA CAPARRA
GUAYNABO
PR
00966
Phone
: 787-792-8383;
Fax
: 787-792-8778;
Practice Location Address
:
CARR. 2 M-239
, VILLA CAPARRA
, GUAYNABO
, PR
, 00966
Practice Phone
: 787-792-8383;
Practice Fax
: 787-792-8778
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1023108750 -
NORTH ROANOKE REHAB MEDICINE PC
Other Name
:
Mailing Address
:
PO BOX 4127
NORTH ROANOKE REHAB MEDICINE PC
ROANOKE
VA
24015
Phone
: 540-344-9781;
Fax
: 540-344-7154;
Practice Location Address
:
5720 WILLIAMSON RD
, STE 107 NORTH ROANOKE REHAB MEDICINE PC
, ROANOKE
, VA
, 24012
Practice Phone
: 540-265-6710;
Practice Fax
: 540-265-6712
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1932299666 -
TODD
A
DOYLE
MS
Other Name
:
Mailing Address
:
3407 SHAMROCK COURT
GAUTIER
MS
39553
Phone
: 228-497-0690;
Fax
: 228-497-1363;
Practice Location Address
:
3407 SHAMROCK COURT
,
, GAUTIER
, MS
, 39553
Practice Phone
: 228-497-0690;
Practice Fax
: 228-497-1363
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1841380573 -
MR.
MR.
RALPH
W.
SIMONTON
III
O.D.
Other Name
:
Mailing Address
:
2823 HIGHWAY 31 W SOUTH
WHITE HOUSE
TN
37188
Phone
: 615-672-4683;
Fax
: 615-672-4643;
Practice Location Address
:
2823 HIGHWAY 31 W. SOUTH
,
, WHITE HOUSE
, TN
, 37188
Practice Phone
: 615-672-4683;
Practice Fax
: 615-672-4643
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1568552297 -
STEPHEN
JOSEPH
CAPPS
M.D.
Other Name
:
Mailing Address
:
630 5TH AVE W
HENDERSONVILLE
NC
28739-4206
Phone
: 828-693-0747;
Fax
: 828-693-0947;
Practice Location Address
:
630 5TH AVE W
,
, HENDERSONVILLE
, NC
, 28739-4206
Practice Phone
: 828-693-0747;
Practice Fax
: 828-693-0947
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1477643104 -
OFFICE OF JUVENILE AFFAIRS, STATE OF OKLAHOMA
Other Name
:
Mailing Address
:
PO BOX 268812
OKLAHOMA CITY
OK
73126-8812
Phone
: 405-530-2800;
Fax
: 405-530-2911;
Practice Location Address
:
3812 N SANTA FE AVE STE 400
,
, OKLAHOMA CITY
, OK
, 73118-8500
Practice Phone
: 405-530-2800;
Practice Fax
: 405-530-2911
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1386734010 -
MR.
MR.
CHARLES
WILLIAM
HASTINGS
RPH
Other Name
:
Mailing Address
:
13894 NORTHLINE RD
SOUTHGATE
MI
48195-1803
Phone
: 734-285-9496;
Fax
: 734-285-9498;
Practice Location Address
:
13894 NORTHLINE RD
,
, SOUTHGATE
, MI
, 48195-1803
Practice Phone
: 734-285-9496;
Practice Fax
: 734-285-9498
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1194815829 -
JODI
MARIE
DIVEN
Other Name
:
Mailing Address
:
1100 NORTH ST
OIL CITY
PA
16301-3249
Phone
: ;
Fax
: ;
Practice Location Address
:
406 W OAK ST
,
, TITUSVILLE
, PA
, 16354-1404
Practice Phone
: 814-827-1851;
Practice Fax
:
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1003906736 -
MARY
MACLENNAN
Other Name
:
Mailing Address
:
605 S PATTERSON BLVD
DAYTON
OH
45402-2649
Phone
: 937-395-4600;
Fax
: 937-395-4610;
Practice Location Address
:
605 S PATTERSON BLVD
,
, DAYTON
, OH
, 45402-2649
Practice Phone
: 937-395-4600;
Practice Fax
:
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1912097643 -
DR.
DR.
STEVEN
RICHARD
SIRUS
MD
Other Name
:
Mailing Address
:
9200 W LOOMIS RD
215
FRANKLIN
WI
53132-8887
Phone
: 414-529-9100;
Fax
: 414-529-9108;
Practice Location Address
:
9200 W LOOMIS RD
, STE 215
, FRANKLIN
, WI
, 53132
Practice Phone
: 414-529-9100;
Practice Fax
: 414-529-9108
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1821188558 -
DR.
DR.
CHARLES
MILO
HALVERSON
DPM
Other Name
:
Mailing Address
:
1540 NORTH BELL STREET
FREMONT
NE
68025-3537
Phone
: 402-721-7171;
Fax
: 402-721-7233;
Practice Location Address
:
1540 NORTH BELL STREET
,
, FREMONT
, NE
, 68025-3537
Practice Phone
: 402-721-7171;
Practice Fax
: 402-721-7233
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1730279464 -
STEVEN
CHIN
MD
Other Name
:
Mailing Address
:
PO BOX 9142
MASS GENERAL PHYSICIANS ORGANIZATION INC
CHARLESTOWN
MA
02129-9142
Phone
: 617-724-0287;
Fax
: 617-726-2894;
Practice Location Address
:
300 LONGWOOD AVE
, CHILDRENS HOSPITAL END 916
, BOSTON
, MA
, 02115
Practice Phone
: 617-919-2341;
Practice Fax
:
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1649360371 -
ERIN
N.
BOOTHBY
L.C.S.W.
Other Name
:
Mailing Address
:
29 SOUTH MAIN ST.
NEW MILFORD
CT
06776
Phone
: 860-946-9292;
Fax
: ;
Practice Location Address
:
29 SOUTH MAIN ST.
,
, NEW MILFORD
, CT
, 06776
Practice Phone
: 860-946-9292;
Practice Fax
:
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1558451286 -
MRS.
MRS.
ALLISON
CORI
BROOKS
M.S.
Other Name
:
Mailing Address
:
7025 BERACASA WAY STE 105G
BOCA RATON
FL
33433-3465
Phone
: 561-702-6141;
Fax
: 561-258-2777;
Practice Location Address
:
7025 BERACASA WAY STE 105G
,
, BOCA RATON
, FL
, 33433-3465
Practice Phone
: 561-702-6141;
Practice Fax
: 561-258-2777
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1467542191 -
DR.
DR.
OLA
A
MONASTYRSKYJ
MD
Other Name
:
Mailing Address
:
PO BOX 416457
BOSTON
MA
02241-6457
Phone
: 844-362-1735;
Fax
: 973-290-7495;
Practice Location Address
:
95 MADISON AVE
, SUITE A00
, MORRISTOWN
, NJ
, 07960
Practice Phone
: 973-538-1388;
Practice Fax
: 973-538-9501
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1376633008 -
PRO-MED OF JONESBORO INC
Other Name
:
Mailing Address
:
300 CARSON ST
SUITE 103
JONESBORO
AR
72401-3104
Phone
: 870-931-0022;
Fax
: 870-931-9565;
Practice Location Address
:
300 CARSON ST
, SUITE 103
, JONESBORO
, AR
, 72401-3104
Practice Phone
: 870-931-0022;
Practice Fax
: 870-931-9565
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1285724914 -
SEMMA MEDICAL PLLC
Other Name
:
Mailing Address
:
2414 33RD ST
STE A
ASTORIA
NY
11102-1137
Phone
: 718-932-7315;
Fax
: 718-956-0254;
Practice Location Address
:
2414 33RD ST
, STE A
, ASTORIA
, NY
, 11102-1137
Practice Phone
: 718-932-7315;
Practice Fax
: 718-956-0254
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1093805723 -
JESSICA
SANTIAGO
Other Name
:
Mailing Address
:
PO BOX 1064
YAUCO
PR
00698-1064
Phone
: 787-856-5708;
Fax
: ;
Practice Location Address
:
149 CALLE LUIS MUNOZ RIVERA
,
, GUAYANILLA
, PR
, 00656-1814
Practice Phone
: 787-835-2840;
Practice Fax
:
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1902996630 -
ABBIE
COLLINSWORTH
MD
Other Name
:
Mailing Address
:
PO BOX 548
WICHITA
KS
67201-0548
Phone
: 316-962-2239;
Fax
: ;
Practice Location Address
:
10346 E STONEGATE LN STE 100
,
, WICHITA
, KS
, 67206-2054
Practice Phone
: 316-871-0779;
Practice Fax
:
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1811087547 -
HILLARY AA CHOLLET MD PC
Other Name
:
Mailing Address
:
503 BUCKEYE DRIVE STE 100
TROY
IL
62294-2347
Phone
: 618-692-9640;
Fax
: 618-692-9643;
Practice Location Address
:
6400 PROSPECT AVE STE 338
,
, KANSAS CITY
, MO
, 64132-1100
Practice Phone
: 816-361-6070;
Practice Fax
: 816-361-6105
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1275623902 -
MR.
MR.
GREGG
LYNN
HACKETT
ACA, BC-HIS
Other Name
:
Mailing Address
:
2435 PROFESSIONAL DR
SUITE A
SANTA ROSA
CA
95403-3017
Phone
: 707-575-3590;
Fax
: 707-575-5329;
Practice Location Address
:
2435 PROFESSIONAL DR
, SUITE A
, SANTA ROSA
, CA
, 95403-3017
Practice Phone
: 707-575-3590;
Practice Fax
: 707-575-5329
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1184714818 -
DR.
DR.
EDWARD
ANTHONY
LEMMO
PH.D., RD
Other Name
:
Mailing Address
:
60 GILROY ST
STATEN ISLAND
NY
10309-1710
Phone
: 718-967-5880;
Fax
: ;
Practice Location Address
:
60 GILROY ST
,
, STATEN ISLAND
, NY
, 10309-1710
Practice Phone
: 718-967-5880;
Practice Fax
:
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1992895627 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1801986534 -
DR.
DR.
EDWARD
KOWALEWSKI
PHARM D.
Other Name
:
Mailing Address
:
1170 SHAWNEE ST
SAVANNAH
GA
31419-1618
Phone
: 912-920-0214;
Fax
: ;
Practice Location Address
:
325 W MONTGOMERY XRD
,
, SAVANNAH
, GA
, 31406-3309
Practice Phone
: 912-920-0214;
Practice Fax
:
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1710077441 -
SHIRLEY
LEVERTON
APRN
Other Name
:
Mailing Address
:
HARTFORD HOSPITAL PROFESSIONAL SERVICES
PO BOX 40,000 DEPT 634
HARTFORD
CT
06151-0634
Phone
: 860-545-7602;
Fax
: ;
Practice Location Address
:
80 SEYMOUR STREET
, HARTFORD HOSPITAL SURGERY DEPT
, HARTFORD
, CT
, 06102
Practice Phone
: 860-545-2840;
Practice Fax
:
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1629168356 -
DR.
DR.
MARK
F.
DITMAR
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
:
ATLANTICARE REGIONAL MEDICAL CENTER
, JIMMIE LEEDS ROAD
, POMONA
, NJ
, 08240-9104
Practice Phone
: 609-652-1000;
Practice Fax
: 609-748-5988
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1538259262 -
MS.
MS.
DOROTHY
A.
GOULD
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
:
VIRTUA AND DUPONT CHILDRENS HEALTH PROGRAM
, 1000 WHITE HORSE ROAD SUITE 204
, VOORHEES
, NJ
, 08043-4406
Practice Phone
: 856-309-8508;
Practice Fax
: 856-309-8556
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1447340179 -
DR.
DR.
MICHAEL
B.
MARCHILDON
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
:
VIRTUA AND DUPONT CHILDRENS HEALTH PROGRAM
, 1000 WHITE HORSE ROAD SUITE 204
, VOORHEES
, NJ
, 08043-4406
Practice Phone
: 856-309-8508;
Practice Fax
: 856-309-8556
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1356431084 -
AMY
BAINES
ROBINSON
MSW, LCSW
Other Name
:
Mailing Address
:
4455 BROOKFIELD CORPORATE DR
C/O FOR CHILDREN'S SAKE OF VIRGINIA - EDC
CHANTILLY
VA
20151-1670
Phone
: 703-817-9890;
Fax
: ;
Practice Location Address
:
4455 BROOKFIELD CORPORATE DR
, C/O FOR CHILDREN'S SAKE OF VIRGINIA - EDC
, CHANTILLY
, VA
, 20151-1670
Practice Phone
: 703-817-9890;
Practice Fax
:
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1265522999 -
MARY
K
JENNETT
CRNA
Other Name
:
Mailing Address
:
3519 E POINT DR
BEAVERTON
MI
48612-8742
Phone
: 989-435-8890;
Fax
: ;
Practice Location Address
:
4005 ORCHARD DR
,
, MIDLAND
, MI
, 48670-0001
Practice Phone
: 989-839-3000;
Practice Fax
:
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1174613806 -
DR.
DR.
MASON
PATRICK
SAWYER
PA-C AND DMD
Other Name
:
Mailing Address
:
2514 WARM SPRINGS RD
COLUMBUS
GA
31904-5640
Phone
: 706-326-0397;
Fax
: ;
Practice Location Address
:
1061 HARMON AVE
, 1D03
, FORT STEWART
, GA
, 31314
Practice Phone
: 912-435-6633;
Practice Fax
:
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1083704712 -
DR.
DR.
DENISE
W
SMITH
M.D.
Other Name
:
Mailing Address
:
100 MYRTLE BLVD
GRACEWOOD
GA
30812-1500
Phone
: 706-790-2160;
Fax
: ;
Practice Location Address
:
100 MYRTLE BLVD
,
, GRACEWOOD
, GA
, 30812-1500
Practice Phone
: 706-790-2160;
Practice Fax
:
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1891885521 -
CLEVELAND PUBLIC SCHOOLS
Other Name
:
Mailing Address
:
600 N GILBERT AVE
CLEVELAND
OK
74020-1023
Phone
: 918-358-2210;
Fax
: 918-358-3071;
Practice Location Address
:
600 N GILBERT AVE
,
, CLEVELAND
, OK
, 74020-1023
Practice Phone
: 918-358-2210;
Practice Fax
: 918-358-3071
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1619067345 -
PEBBLES
M
KING
BS
Other Name
:
Mailing Address
:
3407 SHAMROCK COURT
GAUTIER
MS
39553
Phone
: 228-497-0690;
Fax
: 228-497-1363;
Practice Location Address
:
3407 SHAMROCK COURT
,
, GAUTIER
, MS
, 39553
Practice Phone
: 228-497-0690;
Practice Fax
: 228-497-1363
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1073603700 -
JUDITH
ANN
DOEDEN
LSW
Other Name
:
Mailing Address
:
151 S 4TH ST
SUITE 401
GRAND FORKS
ND
58201-4715
Phone
: 701-795-3000;
Fax
: 701-795-3050;
Practice Location Address
:
151 S 4TH ST
, SUITE 401
, GRAND FORKS
, ND
, 58201-4715
Practice Phone
: 701-795-3000;
Practice Fax
: 701-795-3050
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1982794616 -
VISESLAV
DRINCIC
Other Name
:
Mailing Address
:
4101 WOOLWORTH AVE
OMAHA
NE
68105-1850
Phone
: ;
Fax
: ;
Practice Location Address
:
4101 WOOLWORTH AVE
,
, OMAHA
, NE
, 68105-1850
Practice Phone
: 402-346-8800;
Practice Fax
: 402-943-5575
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1700976446 -
ANDREW
D
GRANT
DC
Other Name
:
Mailing Address
:
PO BOX 1235
MARION
NC
28752
Phone
: 828-652-7746;
Fax
: 828-652-7746;
Practice Location Address
:
1135 N MAIN STREET
,
, MARION
, NC
, 28752
Practice Phone
: 828-652-7746;
Practice Fax
: 828-652-7746
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1619067352 -
AMANDA
L
JOHNS
MS
Other Name
:
Mailing Address
:
3407 SHAMROCK COURT
GAUTIER
MS
39553
Phone
: 228-497-0690;
Fax
: 228-497-1363;
Practice Location Address
:
3407 SHAMROCK COURT
,
, GAUTIER
, MS
, 39553
Practice Phone
: 228-497-0690;
Practice Fax
: 228-497-1363
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1528158268 -
PEGGY
L
GLADFELTER
BA CADC
Other Name
:
Mailing Address
:
3407 SHAMROCK COURT
GAUTIER
MS
39553
Phone
: 228-497-0690;
Fax
: 228-497-1363;
Practice Location Address
:
3407 SHAMROCK COURT
,
, GAUTIER
, MS
, 39553
Practice Phone
: 228-497-0690;
Practice Fax
: 228-497-1363
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1437249174 -
MARY
ELIZABETH
FENECH
MS
Other Name
:
Mailing Address
:
3407 SHAMROCK COURT
GAUTIER
MS
39553
Phone
: 228-497-0690;
Fax
: 228-497-1363;
Practice Location Address
:
3407 SHAMROCK COURT
,
, GAUTIER
, MS
, 39553
Practice Phone
: 228-497-0690;
Practice Fax
: 228-497-1363
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1346330081 -
BRUCE
JEFFREY
LIPPMANN
MD
Other Name
:
Mailing Address
:
1209 S BIG BEND BLVD UNIT 179106
SAINT LOUIS
MO
63117-0501
Phone
: 573-267-2318;
Fax
: ;
Practice Location Address
:
1009 EXECUTIVE PARKWAY DR
,
, CREVE COEUR
, MO
, 63141-6324
Practice Phone
: 573-267-2318;
Practice Fax
: 314-293-6811
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1982794624 -
DR.
DR.
SUSAN
MARIE
LANNI
M.D.
Other Name
:
Mailing Address
:
PO BOX 91734
RICHMOND
VA
23291-1734
Phone
: 804-358-6100;
Fax
: 804-342-7619;
Practice Location Address
:
1250 E MARSHALL STREET
, OB/GYN
, RICHMOND
, VA
, 23298-0510
Practice Phone
: 804-828-8468;
Practice Fax
: 804-828-0573
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1790875433 -
DR.
DR.
TARA
NICOLE
HARDIN
DDS
Other Name
:
Mailing Address
:
369 ASPEN RIDGE DRIVE
LEBANON
OH
45036
Phone
: 513-932-3393;
Fax
: ;
Practice Location Address
:
202 E MAIN ST
,
, MASON
, OH
, 45040-1954
Practice Phone
: 513-398-4448;
Practice Fax
:
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1518057256 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1427148162 -
DR.
DR.
DANIELLE
M.
BENTSEN
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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1336239078 -
DR.
DR.
JONATHAN
L.
POWELL
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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1245320985 -
DR.
DR.
LINDA
D
VALLINO
PHD
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
: 302-651-6895
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1154411890 -
DR.
DR.
ELLEN
M
ARCH
MD
Other Name
:
Mailing Address
:
PO BOX 27128
SALT LAKE CITY
UT
84127-0128
Phone
: ;
Fax
: ;
Practice Location Address
:
544 S 400 E
,
, ST GEORGE
, UT
, 84770-3705
Practice Phone
: 435-688-4770;
Practice Fax
: 302-651-4945
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1063502706 -
DR.
DR.
KATRINA
A
CONARD
MD
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
: 302-651-4945
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1972693612 -
DR.
DR.
LAURIE
P.
COOKE
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
:
NEMOURS PEDIATRICS JESSUP ST.
, 1602 JESSUP STREET
, WILMINGTON
, DE
, 19802-4210
Practice Phone
: 302-576-5050;
Practice Fax
: 302-576-5065
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1881784528 -
DR.
DR.
MARY
L.
GAVIN
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
:
3855 WEST CHESTER PIKE, SUITE 280
, NEMOURS DUPONT PEDIATRICS, NEWTON SQUARE
, NEWTON SQUARE
, PA
, 19073-2304
Practice Phone
: 610-557-4800;
Practice Fax
: 302-651-4945
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1699865337 -
MS.
MS.
JEAN
R.
WADMAN
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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1508956244 -
MS.
MS.
CATHY
C.
RAMAGE
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
: 302-651-4547
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1417047150 -
MS.
MS.
BETTE
B.
BETTS
MSW
Other Name
:
Mailing Address
:
1920 TIJERAS RD
SANTA FE
NM
87505-3352
Phone
: 505-310-1074;
Fax
: 505-992-6145;
Practice Location Address
:
1012 MARQUEZ PL
, SUITE 211 A
, SANTA FE
, NM
, 87505-1834
Practice Phone
: 505-310-1074;
Practice Fax
: 505-992-6145
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1326138066 -
OLEAN MEDICAL GROUP PARTNERSHIP
Other Name
:
Mailing Address
:
6133 ROUTE 219 S STE 1006
SUITE 1006
ELLICOTTVILLE
NY
14731-9613
Phone
: 716-699-4332;
Fax
: 716-699-4307;
Practice Location Address
:
6133 ROUTE 219
, SUITE 1006
, ELLICOTTVILLE
, NY
, 14731
Practice Phone
: 716-699-4332;
Practice Fax
: 716-699-4307
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1235229972 -
DR.
DR.
N.
CAROLYN
SCHANEN
MD
Other Name
:
Mailing Address
:
PO BOX 191
PROVIDER ENROLLMENT
ROCKLAND
DE
19732-0191
Phone
: 302-651-4000;
Fax
: 302-651-4945;
Practice Location Address
:
1600 ROCKLAND RD
, AI DUPONT HOSPITAL FOR CHILDREN
, WILMINGTON
, DE
, 19803-3607
Practice Phone
: 302-651-4200;
Practice Fax
: 302-651-5033
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1144310889 -
DR.
DR.
MAUREEN
F.
EDELSON
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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1053401794 -
DR.
DR.
NEIL
A
IZENBERG
MD
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
, 19899
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1962592600 -
RUDOLPH
VALENTINO
TACORONTI
MD
Other Name
:
Mailing Address
:
4775 JIMMY CARTER BLVD
STE 201
NORCROSS
GA
30093-3760
Phone
: 470-275-4911;
Fax
: 470-275-4918;
Practice Location Address
:
4775 JIMMY CARTER BLVD
, STE 201
, NORCROSS
, GA
, 30093-3760
Practice Phone
: 670-275-4911;
Practice Fax
: 470-275-4911
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1871683516 -
DAVID J. FELDMAN, M.D., P.A.
Other Name
:
Mailing Address
:
16 POCONO RD
SUITE 100
DENVILLE
NJ
07834-2901
Phone
: 973-625-5700;
Fax
: 973-625-3381;
Practice Location Address
:
16 POCONO RD
, SUITE 100
, DENVILLE
, NJ
, 07834-2901
Practice Phone
: 973-625-5700;
Practice Fax
: 973-625-3381
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1780774422 -
DARLENE
KAY
DOERSCHER
MA, LLP
Other Name
:
Mailing Address
:
9021 MCWAIN RD
GRAND BLANC
MI
48439-8331
Phone
: 810-695-4749;
Fax
: ;
Practice Location Address
:
2360 S LINDEN RD
, SUITE 300
, FLINT
, MI
, 48532-5420
Practice Phone
: 810-732-0560;
Practice Fax
: 810-732-6351
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1598855231 -
DR.
DR.
GAMALIEL
IMMANUEL
MD
Other Name
:
Mailing Address
:
230 HILTON AVE
HEMPSTEAD
NY
11550-8115
Phone
: 516-565-5556;
Fax
: 516-483-0396;
Practice Location Address
:
230 HILTON AVE
,
, HEMPSTEAD
, NY
, 11550-8115
Practice Phone
: 516-565-5556;
Practice Fax
: 516-483-0396
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1316037054 -
PRESCRIPTION SPECIALTIES,LLC
Other Name
:
Mailing Address
:
4070 NELSON RD
STE 200
LAKE CHARLES
LA
70605-2444
Phone
: 337-562-7979;
Fax
: 337-562-2343;
Practice Location Address
:
4070 NELSON RD
, STE 200
, LAKE CHARLES
, LA
, 70605-2444
Practice Phone
: 337-562-7979;
Practice Fax
: 337-562-2343
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1225128960 -
LOIS
L
ROBERTSON
CRNA
Other Name
:
Mailing Address
:
5115 HICKORY CT
SAGINAW
MI
48603-9661
Phone
: 989-497-9707;
Fax
: ;
Practice Location Address
:
4005 ORCHARD DR
,
, MIDLAND
, MI
, 48670-0001
Practice Phone
: 989-839-3000;
Practice Fax
:
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1134219876 -
MS.
MS.
JILL
ROBIN
SABERMAN
RN, MSN, WHNP-BC
Other Name
:
Mailing Address
:
8110 LAGUNA BLVD
ELK GROVE
CA
95758-8094
Phone
: 916-683-3955;
Fax
: ;
Practice Location Address
:
8110 LAGUNA BLVD
,
, ELK GROVE
, CA
, 95758-8094
Practice Phone
: 916-683-3955;
Practice Fax
:
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1952491698 -
DR.
DR.
VINAY
KAPOOR
M.D.
Other Name
:
VINAY
KAPOOR
Mailing Address
:
22215 NORTHERN BLVD
STE. LL-B
BAYSIDE
NY
11361-3603
Phone
: 718-279-4005;
Fax
: 718-279-4413;
Practice Location Address
:
22215 NORTHERN BLVD
, STE. LL-B
, BAYSIDE
, NY
, 11361-3603
Practice Phone
: 718-279-4005;
Practice Fax
: 718-279-4413
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1861582504 -
DR.
DR.
FAYEZ
KHADER
SHAMIEH
M.D.
Other Name
:
Mailing Address
:
707 S RYAN ST
LAKE CHARLES
LA
70601-5728
Phone
: 337-433-0762;
Fax
: 337-433-4868;
Practice Location Address
:
707 S RYAN ST
,
, LAKE CHARLES
, LA
, 70601-5728
Practice Phone
: 337-433-0762;
Practice Fax
: 337-433-4868
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1770673410 -
LYNETTE
A
JEFFERS
CRNA
Other Name
:
Mailing Address
:
6000 W CREEK RD
SUITE 10
INDEPENDENCE
OH
44131-2139
Phone
: 800-223-2273;
Fax
: ;
Practice Location Address
:
9500 EUCLID AVE
,
, CLEVELAND
, OH
, 44195-0001
Practice Phone
: 800-223-2273;
Practice Fax
:
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1689764326 -
FOCUS COUNSELING AND CONSULTATION, INC.
Other Name
:
Mailing Address
:
186 1/2 HAMSHIRE ST
CAMBRIDGE
MA
02140
Phone
: 617-876-4488;
Fax
: 617-876-0350;
Practice Location Address
:
186 1/2 HAMSHIRE ST
,
, CAMBRIDGE
, MA
, 02140
Practice Phone
: 617-876-4488;
Practice Fax
: 617-876-0350
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1497845135 -
HUMAIRA
BARI
MD
Other Name
:
HUMAIRA
BEGUM
Mailing Address
:
2400 N. ROCKTON AVENUE
ROCKFORD
IL
61103
Phone
: 815-971-5000;
Fax
: ;
Practice Location Address
:
8201 E RIVERSIDE BLVD
,
, ROCKFORD
, IL
, 61114-2300
Practice Phone
: 815-971-4066;
Practice Fax
: 815-971-9299
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1306936042 -
Other Name
:
Mailing Address
:
Phone
: ;
Fax
: ;
Practice Location Address
:
,
,
,
,
Practice Phone
: ;
Practice Fax
:
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1215027958 -
DR.
DR.
ROBERT
E
GAROLA
MD
Other Name
:
Mailing Address
:
2401 GILLHAM RD
KANSAS CITY
MO
64108-4619
Phone
: 816-234-3234;
Fax
: 816-802-1492;
Practice Location Address
:
2401 GILLHAM RD
,
, KANSAS CITY
, MO
, 64108-4619
Practice Phone
: 816-234-3000;
Practice Fax
: 816-802-1492
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1124118864 -
DR.
DR.
RATNA
SRIDJAJA
MD
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
, 19899
Practice Phone
: 302-651-4000;
Practice Fax
: 302-651-4945
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1033209770 -
DR.
DR.
PETER
G.
GABOS
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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1942390687 -
EDWARD
A
HOBART
M.D.
Other Name
:
Mailing Address
:
1701 E 23RD AVE
HUTCHINSON
KS
67502-1105
Phone
: 620-665-2000;
Fax
: 620-513-3826;
Practice Location Address
:
1701 E 23RD AVE
,
, HUTCHINSON
, KS
, 67502-1105
Practice Phone
: 620-665-2000;
Practice Fax
: 620-513-3826
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