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General NPI Number Information
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NPI Number | 1225287915
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Entity Type | Organization
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Legal Business Name | GEORGIA CENTER FOR FEMALE HEALTH LLC
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Dates
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Enumeration Date | 09/17/2008
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Last Update Date | 09/17/2008
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Provider Practice Location Address
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Address Line | 4775 JIMMY CARTER BLVD STE 300
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City | NORCROSS
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State | GA
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Zip | 30093-3760
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Country | US
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Telephone | 770-638-8446
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Fax |
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Provider Business Mailing Address
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Address Line | 4775 JIMMY CARTER BLVD STE 300
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City | NORCROSS
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State | GA
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Zip | 30093-3760
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Country | US
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Telephone | 770-638-8446
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. LYNETTE STEWART
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Credential | MD, FCOG
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Telephone | 678-789-9639
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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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