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General NPI Number Information
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NPI Number | 1184609232
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Entity Type | Organization
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Legal Business Name | WOMEN'S CARE OB/GYN, INC.
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Dates
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Enumeration Date | 12/13/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 201 5TH ST NE SUITE #6
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City | BARBERTON
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State | OH
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Zip | 44203-3017
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Country | US
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Telephone | 330-745-3080
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Fax | 330-745-6534
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Provider Business Mailing Address
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Address Line | 201 5TH ST NE SUITE #6
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City | BARBERTON
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State | OH
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Zip | 44203-3017
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Country | US
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Telephone | 330-745-3080
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Fax | 330-745-6534
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Authorized Official
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Title or Position | BILLING
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Name | MRS. SHELLEY SHAFFER
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Credential |
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Telephone | 330-745-3080
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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 | 35-05-6380
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License Number State | OH
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