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General NPI Number Information
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NPI Number | 1407511728
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Entity Type | Organization
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Legal Business Name | NOVO WOMEN'S HEALTH, P.C.
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Dates
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Enumeration Date | 11/02/2021
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 2150 BLACK ROCK TPKE STE 201
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City | FAIRFIELD
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State | CT
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Zip | 06825-3239
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Country | US
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Telephone | 203-693-4593
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Fax |
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Provider Business Mailing Address
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Address Line | 2150 BLACK ROCK TPKE STE 201
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City | FAIRFIELD
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State | CT
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Zip | 06825-3239
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Country | US
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Telephone | 203-693-4593
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. AUBREY RAUKTYS
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Credential |
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Telephone | 203-693-4593
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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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