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General NPI Number Information
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NPI Number | 1326183823
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Entity Type | Organization
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Legal Business Name | LOURDES Z OMBAO MD PA
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Dates
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Enumeration Date | 02/21/2007
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Last Update Date | 07/17/2009
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Provider Practice Location Address
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Address Line | 1205 LANGHORNE NEWTOWN RD SUITE 406
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-752-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 1205 LANGHORNE NEWTOWN RD SUITE 406
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City | LANGHORNE
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State | PA
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Zip | 19047
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Country | US
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Telephone | 215-752-1778
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | LOURDES OMBAO
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Credential |
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Telephone | 215-752-1778
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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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