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General NPI Number Information
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NPI Number | 1346054327
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Entity Type | Organization
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Legal Business Name | VERMONT FAMILY AND WOMEN HEALTH SERVICES APC
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Dates
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Enumeration Date | 02/01/2025
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Last Update Date | 02/01/2025
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Provider Practice Location Address
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Address Line | 1233 N VERMONT AVE STE 2
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City | LOS ANGELES
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State | CA
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Zip | 90029-1749
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Country | US
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Telephone | 323-407-6025
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Fax | 323-407-6034
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Provider Business Mailing Address
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Address Line | 1233 N VERMONT AVE STE 2
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City | LOS ANGELES
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State | CA
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Zip | 90029-1749
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Country | US
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Telephone | 323-407-6025
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Fax | 323-407-6034
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ANA ROSA ASCENCIO
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Credential | CMA
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Telephone | 213-219-8054
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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