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General NPI Number Information
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NPI Number | 1124395587
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Entity Type | Individual
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Provider Name | MONICA JENETTE TSCHIRHART M.D.
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Gender | Female
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Dates
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Enumeration Date | 11/29/2011
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 35 MEDICAL CENTER PKWY
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City | AUGUSTA
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State | ME
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Zip | 04330-8160
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Country | US
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Telephone | 207-621-9100
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Fax |
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Provider Business Mailing Address
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Address Line | 35 MEDICAL CENTER PKWY
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City | AUGUSTA
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State | ME
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Zip | 04330-8160
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Country | US
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Telephone | 207-621-9100
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LT4390
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License Number State | NH
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 29886
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD24058
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License Number State | ME
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