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General NPI Number Information
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NPI Number | 1326898982
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Entity Type | Organization
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Legal Business Name | MAVEN CLINIC CO.
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 10/28/2025
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Provider Practice Location Address
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Address Line | 160 VARICK ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10013-1272
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Country | US
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Telephone | 212-868-6655
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Fax |
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Provider Business Mailing Address
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Address Line | 160 VARICK ST FL 6
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City | NEW YORK
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State | NY
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Zip | 10013-1272
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Country | US
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Telephone | 212-868-6655
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KATE RYDER
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Credential |
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Telephone | 212-868-6655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VE0102X
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Taxonomy Name | Reproductive Endocrinology Physician
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License Number |
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License Number State |
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