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General NPI Number Information
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NPI Number | 1073572293
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Entity Type | Organization
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Legal Business Name | WOMAN TO WOMAN, P.C.
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Dates
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Enumeration Date | 03/17/2006
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Last Update Date | 04/24/2012
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Provider Practice Location Address
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Address Line | 2900 FRANK SCOTT PKWY W SUITE 908
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City | BELLEVILLE
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State | IL
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Zip | 62223-5000
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Country | US
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Telephone | 618-236-7555
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Fax | 618-236-7565
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Provider Business Mailing Address
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Address Line | 2900 FRANK SCOTT PKWY W SUITE 908
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City | BELLEVILLE
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State | IL
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Zip | 62223-5000
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Country | US
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Telephone | 618-236-7555
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Fax | 618-236-7565
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LORNA LYNN O'YOUNG
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Credential | M.D.
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Telephone | 618-236-7555
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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 | 036093699
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License Number State | IL
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