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General NPI Number Information
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NPI Number | 1124260617
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE OFFICE GYNECOLOGY PC
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 129 CLOVE BRANCH RD
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-5284
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Country | US
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Telephone | 845-592-4036
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Fax | 845-592-4038
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Provider Business Mailing Address
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Address Line | 129 CLOVE BRANCH RD
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City | HOPEWELL JUNCTION
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State | NY
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Zip | 12533-5284
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Country | US
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Telephone | 845-592-4036
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Fax | 845-592-4038
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Authorized Official
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Title or Position | DOCTOR
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Name | DR. BARBARA WHITE
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Credential | DO
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Telephone | 845-592-4036
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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 |
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License Number State |
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