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General NPI Number Information
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NPI Number | 1417254533
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Entity Type | Organization
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Legal Business Name | WARNER ROBINS OB/GYN LLC
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Dates
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Enumeration Date | 02/25/2011
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Last Update Date | 02/16/2012
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Provider Practice Location Address
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Address Line | 233 N HOUSTON RD SUITE 143 H
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3074
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Country | US
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Telephone | 478-923-2229
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Fax | 888-456-6653
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Provider Business Mailing Address
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Address Line | 233 N HOUSTON RD SUITE 143 H
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City | WARNER ROBINS
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State | GA
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Zip | 31093-3074
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Country | US
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Telephone | 478-923-2229
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Fax | 888-456-6653
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Authorized Official
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Title or Position | INSURANCE AND BILLING
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Name | MRS. LISA HINMAN
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Credential |
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Telephone | 478-923-2229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 35676
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License Number State | GA
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