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General NPI Number Information
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NPI Number | 1225336282
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Entity Type | Organization
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Legal Business Name | W 2 W MEDICAL GROUP INC
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Dates
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Enumeration Date | 02/28/2011
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Last Update Date | 01/03/2023
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Provider Practice Location Address
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Address Line | 531 S HARBOR BLVD
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City | ANAHEIM
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State | CA
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Zip | 92805-4525
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Country | US
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Telephone | 714-956-3535
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Fax |
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Provider Business Mailing Address
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Address Line | 531 S HARBOR BLVD
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City | ANAHEIM
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State | CA
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Zip | 92805-4525
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Country | US
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Telephone | 714-956-3535
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Fax |
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Authorized Official
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Title or Position | SEC
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Name | HITESH MAMTORA
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Credential |
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Telephone | 714-996-4912
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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 | A50582
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License Number State | CA
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