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General NPI Number Information
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NPI Number | 1245498534
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Entity Type | Organization
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Legal Business Name | MAHONING WOMENS CENTER
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Dates
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Enumeration Date | 05/23/2008
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Last Update Date | 05/23/2008
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Provider Practice Location Address
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Address Line | 4025 MARKET STREET
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City | YOUNGSTOWN
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State | OH
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Zip | 44512
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Country | US
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Telephone | 330-782-2218
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Fax | 330-782-2338
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Provider Business Mailing Address
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Address Line | 4025 MARKET STREET
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City | YOUNGSTOWN
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State | OH
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Zip | 44512
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Country | US
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Telephone | 330-782-2218
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Fax | 330-782-2338
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Authorized Official
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Title or Position | MD
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Name | RAYMOND ROBINSON
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Credential | MD
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Telephone | 330-782-2218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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License Number | 0603AS
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License Number State | OH
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