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| Type | Person | [sources] | |||
|---|---|---|---|---|---|
| Name | Jason L Delcollo | [sources] | |||
| Birth date | not available | [sources] | |||
| Nationality | not available | [sources] | |||
| Country | United States | [sources] | |||
| First name | Jason | [sources] | |||
| ID Number | OS015963 · PROMISe #: 102890890 | [sources] | |||
| Last name | Delcollo | [sources] | |||
| Middle name | L | [sources] | |||
| NPI | 1902033707 | [sources] | |||
| Sector | 207Q0000X | [sources] | |||
| Address | Delaware, PA | [sources] | |||
| Last change | Last processed | First seen | |||
List of providers excluded from participating in the Delaware Medicaid program.
United States · DHSS
Medical providers who are precluded from participation in the Medical Assistance Program
United States · DHS
us-medpa-9f0a306e1ab63e6d87e103bb1d48aeeab2e99b2b · us-medde-c8e53afb2c337da3d487ab82b8ea33a247dbef70For experts: raw data explorer
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| Address | ||
|---|---|---|
| Full address | Country | |
| Delaware, PA | United States | |
| United States | Pennsylvania Department of Human services | - |