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General NPI Number Information
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NPI Number | 1235233875
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OB-GYN, INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 450 VETERANS MEMORIAL PKWY SUITE 401
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-5300
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Country | US
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Telephone | 401-434-7747
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Fax | 404-434-7891
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Provider Business Mailing Address
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Address Line | 450 VETERANS MEMORIAL PKWY SUITE 401
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City | EAST PROVIDENCE
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State | RI
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Zip | 02914-5300
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Country | US
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Telephone | 401-434-7747
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Fax | 404-434-7891
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Authorized Official
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Title or Position | PRESIDENT
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Name | HARRIS M. GALKIN
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Credential | M.D.
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Telephone | 401-434-7747
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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 | RI
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