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General NPI Number Information
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NPI Number | 1114979010
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Entity Type | Organization
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Legal Business Name | CENTER FOR WOMENS HEALTH PA
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Dates
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Enumeration Date | 05/17/2006
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 101 PROFESSIONAL PARK
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City | OXFORD
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State | NC
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Zip | 27565-2580
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Country | US
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Telephone | 919-693-1082
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Fax | 919-693-2726
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Provider Business Mailing Address
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Address Line | 101 PROFESSIONAL PARK
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City | OXFORD
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State | NC
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Zip | 27565-2580
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Country | US
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Telephone | 919-693-1082
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Fax | 919-693-2726
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Authorized Official
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Title or Position | MD/OWNER
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Name | DR. STACY BENTON LEWIS JR.
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Credential | MD
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Telephone | 919-693-1082
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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 | 31859
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License Number State | NC
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