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General NPI Number Information
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NPI Number | 1003787383
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Entity Type | Organization
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Legal Business Name | COMMUNITY CARE WOMENS HEALTH AND GYNECOLOGY LLC
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 7297 GLENN HWY
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9034
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Country | US
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Telephone | 740-435-7777
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Fax | 866-915-7377
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Provider Business Mailing Address
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Address Line | 7297 GLENN HWY
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City | CAMBRIDGE
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State | OH
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Zip | 43725-9034
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Country | US
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Telephone | 740-435-7777
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Fax | 866-915-7377
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Authorized Official
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Title or Position | OWNER
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Name | MS. ERIN R BURRIS
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Credential | CNP
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Telephone | 740-435-7777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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