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General NPI Number Information
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NPI Number | 1386915858
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Entity Type | Organization
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Legal Business Name | MERCY CARE FOR WOMEN'S HEALTH
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Dates
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Enumeration Date | 01/15/2012
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Last Update Date | 02/18/2016
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Provider Practice Location Address
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Address Line | 819 S GOVERNORS AVE
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City | DOVER
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State | DE
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Zip | 19904-4158
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Country | US
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Telephone | 302-883-3677
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Fax | 302-736-6951
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Provider Business Mailing Address
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Address Line | 819 S GOVERNORS AVE
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City | DOVER
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State | DE
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Zip | 19904-4158
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Country | US
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Telephone | 302-883-3677
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Fax | 302-736-6951
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CYNTHIA PEREZ MANGUBAT
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Credential | MD
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Telephone | 302-883-3677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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