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General NPI Number Information
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NPI Number | 1215653480
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Entity Type | Organization
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Legal Business Name | INTEGRATIVE WOMENS CARE NJ PC
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 08/21/2025
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Provider Practice Location Address
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Address Line | 1 GATEWAY CTR STE 2600
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City | NEWARK
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State | NJ
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Zip | 07102-5323
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Country | US
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Telephone | 888-731-8994
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Fax |
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Provider Business Mailing Address
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Address Line | 195 PAGE MILL RD STE 103
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City | PALO ALTO
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State | CA
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Zip | 94306-2073
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | CHRISTY BEYER
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Credential | MD
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Telephone | 888-731-8994
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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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Taxonomy #2
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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