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General NPI Number Information
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NPI Number | 1225216252
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Entity Type | Organization
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Legal Business Name | BOYE-DOE WOMENS HEALTH CENTER INC
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Dates
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Enumeration Date | 02/01/2008
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Last Update Date | 09/24/2015
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Provider Practice Location Address
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Address Line | 5040 OBERLIN AVE
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City | LORAIN
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State | OH
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Zip | 44053-3432
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Country | US
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Telephone | 440-960-0644
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Fax | 440-960-0336
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Provider Business Mailing Address
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Address Line | 5040 OBERLIN AVE
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City | LORAIN
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State | OH
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Zip | 44053-3432
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Country | US
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Telephone | 440-960-0644
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Fax | 440-960-0336
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MS. TAMI MAUST
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Credential |
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Telephone | 440-960-0681
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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 | 35-044406
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License Number State | OH
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