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General NPI Number Information
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NPI Number | 1437175197
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Entity Type | Organization
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Legal Business Name | WOMEN'S CENTER OB/GYN
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 02/16/2022
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Provider Practice Location Address
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Address Line | 455 WOODVIEW RD STE 230
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City | WEST GROVE
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State | PA
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Zip | 19390-9301
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Country | US
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Telephone | 610-869-2220
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Fax | 610-869-6550
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Provider Business Mailing Address
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Address Line | 455 WOODVIEW RD, SUITE 230 PO BOX 9
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City | WEST GROVE
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State | PA
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Zip | 19390
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Country | US
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Telephone | 610-869-2220
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Fax | 610-869-6550
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. GEORGE KEITH HENRY
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Credential | MD
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Telephone | 610-869-2220
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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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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD063660-L
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License Number State | PA
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