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General NPI Number Information
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NPI Number | 1376493536
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Entity Type | Organization
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Legal Business Name | ADVANCED GYN AND WELLNESS
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Dates
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Enumeration Date | 01/29/2026
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Last Update Date | 01/29/2026
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Provider Practice Location Address
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Address Line | 1794 HIGHWAY 544
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City | CONWAY
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State | SC
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Zip | 29526-8455
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Country | US
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Telephone | 843-353-6620
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Fax |
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Provider Business Mailing Address
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Address Line | 1794 HIGHWAY 544
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City | CONWAY
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State | SC
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Zip | 29526-8455
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Country | US
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Telephone | 843-353-6620
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Fax |
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Authorized Official
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Title or Position | BILLING/CREDENTIALING
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Name | ALLY METCALFE
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Credential |
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Telephone | 410-960-1421
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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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