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General NPI Number Information
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NPI Number | 1245274802
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Entity Type | Organization
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Legal Business Name | BELLEVUE OBSTETRICS AND GYNECOLOGY ASSOCIATES PC
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Dates
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Enumeration Date | 06/15/2006
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Last Update Date | 08/17/2018
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Provider Practice Location Address
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Address Line | 11507 S 42ND ST SUITE 109
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City | BELLEVUE
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State | NE
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Zip | 68123-6122
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Country | US
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Telephone | 402-734-4106
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Fax | 402-734-0366
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Provider Business Mailing Address
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Address Line | 11507 S 42ND ST SUITE 109
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City | BELLEVUE
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State | NE
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Zip | 68123-6122
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Country | US
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Telephone | 402-734-4106
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Fax | 402-734-0366
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Authorized Official
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Title or Position | OWNER
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Name | DR. MICHAEL WOODS
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Credential | M.D.
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Telephone | 402-734-4106
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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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