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General NPI Number Information
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NPI Number | 1144597881
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Entity Type | Organization
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Legal Business Name | SPECIALISTS IN REPRODUCTIVE MEDICINE & SURGERY, P.A.
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Dates
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Enumeration Date | 11/23/2011
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 12611 WORLD PLAZA LN BUILDING 53
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City | FORT MYERS
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State | FL
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Zip | 33907-3990
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Country | US
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Telephone | 239-275-8118
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Fax | 239-275-5914
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Provider Business Mailing Address
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Address Line | 12611 WORLD PLAZA LN BUILDING 53
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City | FORT MYERS
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State | FL
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Zip | 33907-3990
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Country | US
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Telephone | 239-275-8118
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Fax | 239-275-5914
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRAIG R. SWEET
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Credential | M.D.
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Telephone | 239-275-8118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | ARNP9207683
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number | ME0060184
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License Number State | FL
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