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General NPI Number Information
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NPI Number | 1104022268
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH ASSOCIATES, LLC
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 06/04/2013
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Provider Practice Location Address
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Address Line | 337 NOTCH HILL RD
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City | NORTH BRANFORD
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State | CT
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Zip | 06471-1826
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Country | US
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Telephone | 203-483-1119
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Fax |
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Provider Business Mailing Address
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Address Line | 337 NOTCH HILL RD
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City | NORTH BRANFORD
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State | CT
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Zip | 06471-1826
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Country | US
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Telephone | 203-483-1119
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Fax |
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Authorized Official
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Title or Position | MEMBER, LLC
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Name | MS. DEBORAH CIBELLI
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Credential | CNM
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Telephone | 203-483-1119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number |
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License Number State |
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