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General NPI Number Information
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NPI Number | 1215078977
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Entity Type | Organization
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Legal Business Name | REGIONAL OBSTETRIC CONSULTANTS
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Dates
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Enumeration Date | 02/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 836 PRUDENTIAL DR SUITE 1800
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8334
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Country | US
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Telephone | 904-398-7684
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Fax | 904-398-4998
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Provider Business Mailing Address
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Address Line | 836 PRUDENTIAL DR SUITE 1800
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City | JACKSONVILLE
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State | FL
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Zip | 32207-8334
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Country | US
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Telephone | 904-398-7684
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Fax | 904-398-4998
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. DIANE KAYE THRASHER
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Credential |
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Telephone | 904-398-7684
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VM0101X
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Taxonomy Name | Maternal & Fetal Medicine Physician
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License Number |
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License Number State |
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