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NPI 1245211077

NPI 1245211077 : NAPLES WOMENS CENTER, LLC : ESTERO, FL

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General NPI Number Information
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    NPI Number           |    1245211077
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    Entity Type          |    Organization 
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    Legal Business Name  |    NAPLES WOMENS CENTER, LLC 
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Dates
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    Enumeration Date     |    11/09/2005
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    Last Update Date     |    09/22/2014
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Provider Practice Location Address
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    Address Line         |    10201 ARCOS AVE SUITE 205
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    City                 |    ESTERO
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    State                |    FL
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    Zip                  |    33928-9459
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    Country              |    US
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    Telephone            |    239-495-5896
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    Fax                  |    239-495-5916
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Provider Business Mailing Address
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    Address Line         |    1726 MEDICAL BLVD SUITE 101
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    City                 |    NAPLES
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    State                |    FL
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    Zip                  |    34110-1426
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    Country              |    US
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    Telephone            |    239-513-1992
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    Fax                  |    239-513-9022
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MICHAEL T DENT 
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    Credential           |    M.D.
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    Telephone            |    239-513-1992
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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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