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General NPI Number Information
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NPI Number | 1376552356
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Entity Type | Organization
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Legal Business Name | SUMMIT WOMEN'S CENTER INC
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 02/13/2013
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Provider Practice Location Address
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Address Line | 3787 MAIN ST
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City | BRIDGEPORT
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State | CT
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Zip | 06606-3612
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Country | US
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Telephone | 203-365-2660
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Fax | 203-365-2667
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Provider Business Mailing Address
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Address Line | 61 UNQUOWA RD
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City | FAIRFIELD
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State | CT
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Zip | 06824-5096
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Country | US
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Telephone | 203-259-8782
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Fax | 203-259-0834
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Authorized Official
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Title or Position | INSURANCE SERVICE DIRECTOR
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Name | JANIE UMBRICHT
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Credential |
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Telephone | 203-259-8782
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number | 0036
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License Number State | CT
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