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General NPI Number Information
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NPI Number | 1316080161
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Entity Type | Organization
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Legal Business Name | ADVANCED WOMENS HEALTH CENTER INC
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Dates
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Enumeration Date | 02/14/2007
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Last Update Date | 08/15/2014
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Provider Practice Location Address
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Address Line | 221 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-5692
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Country | US
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Telephone | 352-666-0544
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Fax | 888-309-7754
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Provider Business Mailing Address
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Address Line | 221 MARINER BLVD
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City | SPRING HILL
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State | FL
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Zip | 34609-5692
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Country | US
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Telephone | 352-666-0544
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Fax | 352-666-0842
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Authorized Official
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Title or Position | BILLING
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Name | VANESSA REES
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Credential |
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Telephone | 352-666-0544
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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 | ME0062854
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License Number State | FL
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