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General NPI Number Information
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NPI Number | 1407863699
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTH CARE GROUP OF PA, MAIN LINE WOMEN'S HEALTH CARE DIV.
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Dates
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Enumeration Date | 08/01/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1030 E LANCASTER AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-1451
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Country | US
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Telephone | 610-525-3098
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Fax | 610-525-4932
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Provider Business Mailing Address
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Address Line | 1030 E LANCASTER AVE
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City | BRYN MAWR
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State | PA
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Zip | 19010-1451
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Country | US
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Telephone | 610-525-3098
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Fax | 610-525-4932
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Authorized Official
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Title or Position | BOOKKEEPING COORDINATOR
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Name | JANINE JONES
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Credential |
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Telephone | 610-525-3098
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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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