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General NPI Number Information
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NPI Number | 1376955070
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Entity Type | Organization
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Legal Business Name | FERTILITY AND MIDWIFERY CARE CENTER LLC
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Dates
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Enumeration Date | 05/29/2014
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 2512 E DUPONT RD STE 105
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City | FORT WAYNE
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State | IN
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Zip | 46825-0045
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Country | US
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Telephone | 260-222-7401
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Fax | 260-209-5956
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Provider Business Mailing Address
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Address Line | 2512 E DUPONT RD STE 105
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City | FORT WAYNE
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State | IN
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Zip | 46825-0045
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Country | US
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Telephone | 260-222-7401
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Fax | 260-209-5956
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | APRIL BEISWENGER
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Credential |
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Telephone | 260-222-7401
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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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