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General NPI Number Information
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NPI Number | 1235532524
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Entity Type | Organization
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Legal Business Name | PACIFIC FERTILITY INSTITUTE, INC.
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Dates
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Enumeration Date | 10/01/2014
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Last Update Date | 10/01/2014
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Provider Practice Location Address
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Address Line | 3RD FLR. MARINA HEIGHTS BUSINESS PARK, BLD1, STE 301 PMB 416, PPP BOX 10,000
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | UM
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Telephone | 670-322-0419
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 500410
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City | SAIPAN
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State | MP
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Zip | 96950
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Country | UM
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Telephone | 670-322-8800
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Fax |
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Authorized Official
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Title or Position | NURSE MANAGER
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Name | MRS. KAREN BUETTNER
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Credential | RN
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Telephone | 670-322-8800
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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 | 0250
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License Number State | MP
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