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General NPI Number Information
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NPI Number | 1215105978
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Entity Type | Organization
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Legal Business Name | SERENITY OBSTETRICS
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 1109 N AUSTIN ST
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City | SEGUIN
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State | TX
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Zip | 78155-3701
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Country | US
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Telephone | 380-386-0000
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Fax | 380-386-0060
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Provider Business Mailing Address
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Address Line | 1109 N AUSTIN ST
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City | SEGUIN
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State | TX
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Zip | 78155-3701
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Country | US
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Telephone | 830-386-0000
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Fax | 830-386-0060
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Authorized Official
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Title or Position | DOCTOR
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Name | AYSUN ALAGOZ
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Credential | MD
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Telephone | 830-386-0000
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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 |
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