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Individual
AMY DELUCA
Active
Individual
AMY DELUCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
E5045
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000271510402
UNITED HEALTH CARE
—
01
—
06100017100
QUALCHOICE
—
05
—
162343001
—
AR
01
—
7152880
AETNA
—
01
—
771063201
BREASTCARE
AR
01
—
P00386226
MEDICARE RAILROAD
—
Enumeration date
10/04/2006
Last updated
10/03/2008
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