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General NPI Number Information
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NPI Number | 1265517536
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Entity Type | Organization
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Legal Business Name | NORTHWEST CENTER FOR INFERTILITY AND REPRODUCTIVE ENDOCRINOLOGY
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 3251 N STATE RD 7 SUITE 200
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City | MARGATE
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State | FL
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Zip | 33063
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Country | US
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Telephone | 954-247-6200
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Fax | 954-247-6262
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Provider Business Mailing Address
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Address Line | 3251 N STATE RD 7 SUITE 200
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City | MARGATE
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State | FL
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Zip | 33063
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Country | US
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Telephone | 954-247-6200
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Fax | 954-247-6262
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Authorized Official
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Title or Position | EXECUTIVE VICE PRESIDENT OF OPERAT
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Name | KRISTIN RUNA
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Credential |
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Telephone | 720-810-0707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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