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General NPI Number Information
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NPI Number | 1184891228
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Entity Type | Organization
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Legal Business Name | WCH OB GYN PRACTICE, INC
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Dates
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Enumeration Date | 05/08/2008
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 207 GLENN AVE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-1711
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Country | US
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Telephone | 740-333-5501
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Fax | 740-333-5503
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Provider Business Mailing Address
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Address Line | 207 GLENN AVE
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City | WASHINGTON COURT HOUSE
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State | OH
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Zip | 43160-1711
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Country | US
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Telephone | 740-333-5501
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Fax | 740-333-5503
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | DR. DAVID A ROSADO
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Credential | MD
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Telephone | 740-333-5501
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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 | 3563403
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License Number State | OH
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