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General NPI Number Information
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NPI Number | 1194913657
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN OBSTETRICS & GYNECOLOGY PA
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Dates
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Enumeration Date | 10/10/2007
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 1615 HOSPITAL PARKWAY SUITE 100
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City | BEDFORD
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State | TX
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Zip | 76022
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Country | US
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Telephone | 817-684-5010
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Fax | 817-684-5030
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Provider Business Mailing Address
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Address Line | 1615 HOSPITAL PARKWAY SUITES 100
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City | BEDFORD
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State | TX
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Zip | 76022
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Country | US
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Telephone | 817-684-5010
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Fax | 817-684-5030
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | CHANTAL H.J. SPURDON
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Credential | M.D.
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Telephone | 817-684-5010
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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 | TX
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Taxonomy #2
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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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