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General NPI Number Information
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NPI Number | 1033316799
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Entity Type | Organization
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Legal Business Name | CARITAS OBSTETRICS AND GYNECOLOGY
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Dates
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Enumeration Date | 06/27/2007
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Last Update Date | 07/02/2008
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Provider Practice Location Address
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Address Line | 8340 COLLIER BLVD STE 406
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City | NAPLES
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State | FL
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Zip | 34114-3626
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Country | US
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Telephone | 239-774-1355
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Fax |
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Provider Business Mailing Address
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Address Line | 8340 COLLIER BLVD STE 406
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City | NAPLES
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State | FL
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Zip | 34114-3626
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Country | US
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Telephone | 239-774-1355
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | ANGELA DIANE FLIPPIN-TRAINER
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Credential | M.D.
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Telephone | 239-774-1355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME85066
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License Number State | FL
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