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General NPI Number Information
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NPI Number | 1205938479
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Entity Type | Organization
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Legal Business Name | PIKE CREEK ASSOCIATES IN WOMENCARE P.A.
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Dates
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Enumeration Date | 09/01/2006
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Last Update Date | 09/16/2008
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Provider Practice Location Address
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Address Line | 4600 NEW LINDEN HILL RD BROWNSTONE PLAZA SUITE 202
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City | WILMINGTON
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State | DE
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Zip | 19808-2953
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Country | US
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Telephone | 302-995-7073
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Fax | 302-995-9103
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Provider Business Mailing Address
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Address Line | 4600 NEW LINDEN HILL RD BROWNSTONE PLAZA SUITE 202
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City | WILMINGTON
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State | DE
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Zip | 19808-2953
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Country | US
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Telephone | 302-995-7073
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Fax | 302-995-9103
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CHRISTINE W MAYNARD
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Credential | M.D.
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Telephone | 302-995-7073
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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 | C10002529
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License Number State | DE
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