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General NPI Number Information
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NPI Number | 1376855023
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Entity Type | Organization
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Legal Business Name | WOMEN FIRST OB GYN PLLC
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Dates
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Enumeration Date | 07/10/2010
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 1177 NORTH ROAD STREET
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-4472
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Country | US
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Telephone | 252-338-9080
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Fax | 252-338-6712
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Provider Business Mailing Address
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Address Line | 1177 NORTH ROAD STREET
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City | ELIZABETH CITY
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State | NC
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Zip | 27909-4472
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Country | US
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Telephone | 252-338-9080
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Fax | 252-338-6712
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Authorized Official
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Title or Position | CLINICAL MANAGER
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Name | YVONNE MCLAURIN MOORE
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Credential | RN, BSN
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Telephone | 252-338-9080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 108316
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License Number State | NC
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