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General NPI Number Information
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NPI Number | 1437324217
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Entity Type | Organization
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Legal Business Name | WOMEN'S INTEGRATED MEDICINE, P.C.
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Dates
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Enumeration Date | 04/23/2008
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Last Update Date | 07/09/2014
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Provider Practice Location Address
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Address Line | 13630 MAPLE AVE SUITE 2 I
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City | FLUSHING
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State | NY
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Zip | 11355-3824
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Country | US
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Telephone | 718-321-2177
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Fax | 718-321-1177
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Provider Business Mailing Address
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Address Line | 13630 MAPLE AVE SUITE 2 I
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City | FLUSHING
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State | NY
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Zip | 11355-3824
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Country | US
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Telephone | 718-321-2177
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Fax | 718-321-1177
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Authorized Official
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Title or Position | DOCTOR
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Name | DAVID M CHIANG
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Credential | MD
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Telephone | 718-321-2550
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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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