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General NPI Number Information
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NPI Number | 1396183778
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Entity Type | Organization
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Legal Business Name | WOMEN TO WOMEN OBGYN OF LOS ANGELES
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Dates
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Enumeration Date | 06/07/2013
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Last Update Date | 02/13/2014
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Provider Practice Location Address
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Address Line | 6310 SAN VICENTE BLVD SUITE 330
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City | LOS ANGELES
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State | CA
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Zip | 90048-5426
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Country | US
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Telephone | 323-452-9655
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Fax | 877-405-2972
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Provider Business Mailing Address
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Address Line | 6310 SAN VICENTE BLVD SUITE 330
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City | LOS ANGELES
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State | CA
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Zip | 90048-5426
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Country | US
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Telephone | 323-452-9655
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Fax | 877-405-2972
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Authorized Official
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Title or Position | PHYSICAN/CEO
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Name | CHRISTINA ADBERG
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Credential | M.D
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Telephone | 323-452-9655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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