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General NPI Number Information
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NPI Number | 1285724302
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Entity Type | Organization
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Legal Business Name | MATERNITY ASSOCIATES, PA
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 03/15/2011
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Provider Practice Location Address
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Address Line | 3524 SILVERSIDE RD THE COMMONS, SUITE 33
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City | WILMINGTON
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State | DE
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Zip | 19810-4929
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Country | US
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Telephone | 302-478-7973
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Fax | 302-478-2746
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Provider Business Mailing Address
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Address Line | 3524 SILVERSIDE RD THE COMMONS, SUITE 33
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City | WILMINGTON
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State | DE
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Zip | 19810-4929
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Country | US
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Telephone | 302-478-7973
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Fax | 302-478-2746
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN C CARLSON
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Credential | DO
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Telephone | 302-475-5893
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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 | C2-0000683
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License Number State | DE
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