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General NPI Number Information
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NPI Number | 1164562153
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Entity Type | Organization
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Legal Business Name | ADVANCED WOMENS MEDICAL
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Dates
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Enumeration Date | 02/07/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | ADVANCED WOMEN MEDICAL 664 STONELEIGH AVE SUITE 201
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City | CARMEL
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State | NY
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Zip | 10512-3940
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Country | US
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Telephone | 845-279-3300
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Fax | 845-279-5343
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Provider Business Mailing Address
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Address Line | 664 STONELEIGH AVE SUITE 201
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City | CARMEL
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State | NY
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Zip | 10512-3940
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Country | US
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Telephone | 845-279-3300
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Fax | 845-279-5343
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Authorized Official
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Title or Position | M.D. F.A.C.O.G.
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Name | SUSAN VOSKO
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Credential |
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Telephone | 845-279-3300
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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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