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General NPI Number Information
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NPI Number | 1063786002
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Entity Type | Organization
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Legal Business Name | TODAYS HEALTHCARE CENTER FOR WOMEN
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Dates
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Enumeration Date | 03/07/2012
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Last Update Date | 03/07/2012
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Provider Practice Location Address
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Address Line | 2103 FALL HILL AVE
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3428
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Country | US
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Telephone | 540-361-1611
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Fax | 540-361-4750
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Provider Business Mailing Address
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Address Line | 2103 FALL HILL AVE
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City | FREDERICKSBURG
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State | VA
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Zip | 22401-3428
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Country | US
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Telephone | 540-361-1611
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Fax | 540-361-4750
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Authorized Official
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Title or Position | PRESIDENT/PHYSICIAN
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Name | DR. DOUGLAS ROBERT MEYER
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Credential | M.D.
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Telephone | 540-361-1611
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number | 44918
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License Number State | VA
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