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General NPI Number Information
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NPI Number | 1265613111
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Entity Type | Organization
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Legal Business Name | PARAGON WOMEN'S CARE, INC.
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Dates
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Enumeration Date | 11/20/2007
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Last Update Date | 02/15/2024
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Provider Practice Location Address
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Address Line | 7095 CLYO RD
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City | DAYTON
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State | OH
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Zip | 45459-4816
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Country | US
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Telephone | 937-433-8212
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Fax | 772-902-2528
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Provider Business Mailing Address
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Address Line | 7095 CLYO RD
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City | DAYTON
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State | OH
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Zip | 45459-4816
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Country | US
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Telephone | 937-433-8212
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Fax | 877-590-2252
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. LISA B EGBERT
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Credential | M.D.
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Telephone | 937-433-8212
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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 | 35067040
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License Number State | OH
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