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General NPI Number Information
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NPI Number | 1295171395
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Entity Type | Organization
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Legal Business Name | PERINATAL CENTER, PA
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Dates
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Enumeration Date | 05/15/2013
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Last Update Date | 10/13/2021
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Provider Practice Location Address
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Address Line | 3431 S ORANGE AVE STE B
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City | ORLANDO
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State | FL
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Zip | 32806-8508
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Country | US
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Telephone | 407-425-4422
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Fax | 407-425-4294
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Provider Business Mailing Address
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Address Line | 3431 S ORANGE AVE STE B
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City | ORLANDO
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State | FL
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Zip | 32806-8508
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Country | US
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Telephone | 407-425-4422
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Fax | 407-425-4294
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Authorized Official
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Title or Position | PHYSICIAN
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Name | OLIVER K BAYOUTH
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Credential | M.D.
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Telephone | 407-425-4422
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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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