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General NPI Number Information
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NPI Number | 1396974978
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Entity Type | Organization
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Legal Business Name | AMERICAN WOMEN'S CARE
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Dates
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Enumeration Date | 07/05/2009
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Last Update Date | 07/05/2009
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Provider Practice Location Address
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Address Line | 1111 SPRING ST G 2
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City | SILVER SPRING
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State | MD
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Zip | 20910-4003
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Country | US
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Telephone | 301-588-1692
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Fax | 301-588-1683
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Provider Business Mailing Address
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Address Line | 1111 SPRING ST G 2
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City | SILVER SPRING
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State | MD
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Zip | 20910-4003
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Country | US
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Telephone | 301-588-1692
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Fax | 301-588-1683
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | LEEROY M CLARKE
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Credential |
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Telephone | 301-588-1683
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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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