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General NPI Number Information
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NPI Number | 1174933170
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH FERTILITY
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Dates
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Enumeration Date | 04/30/2014
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Last Update Date | 04/30/2014
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Provider Practice Location Address
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Address Line | 2943 SHERMAN CT
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1830
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Country | US
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Telephone | 914-420-3674
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Fax |
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Provider Business Mailing Address
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Address Line | 2943 SHERMAN CT
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1830
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Country | US
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Telephone | 914-420-3674
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Fax |
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Authorized Official
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Title or Position | OWNER/HEALTH EDUCATOR
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Name | HEATHER NOVAK
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Credential |
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Telephone | 914-420-3674
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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