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General NPI Number Information
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NPI Number | 1437468550
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Entity Type | Organization
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Legal Business Name | NEW JERSEY WOMENS WELLNESS CENTER LLC
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Dates
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Enumeration Date | 10/07/2010
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Last Update Date | 09/11/2013
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Provider Practice Location Address
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Address Line | 305 W GRAND AVE
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City | MONTVALE
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State | NJ
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Zip | 07645-1813
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Country | US
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Telephone | 201-501-8500
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Fax | 201-501-8523
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Provider Business Mailing Address
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Address Line | 305 W GRAND AVE
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City | MONTVALE
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State | NJ
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Zip | 07645-1813
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Country | US
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Telephone | 201-501-8500
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Fax | 201-501-8523
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | CINDY PARNES
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Credential | MD
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Telephone | 201-501-8500
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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 |
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License Number State |
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