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General NPI Number Information
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NPI Number | 1144368440
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Entity Type | Organization
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Legal Business Name | WARREN OB-GYN ASSOCIATES
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Dates
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Enumeration Date | 02/01/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 985 BELVIDERE RD
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1778
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Country | US
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Telephone | 908-859-5308
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Fax |
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Provider Business Mailing Address
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Address Line | 985 BELVIDERE RD
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City | PHILLIPSBURG
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State | NJ
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Zip | 08865-1778
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Country | US
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Telephone | 908-859-5308
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Fax |
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Authorized Official
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Title or Position | COO
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Name | DR. REGINA T SULLIVAN
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Credential | M.D.,FACOG
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Telephone | 908-859-5308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MA67679
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License Number State | NJ
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