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General NPI Number Information
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NPI Number | 1447675418
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Entity Type | Organization
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Legal Business Name | VICTORIA OBSTETRICS & GYNECOLOGY ASSOCIATES, PA
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Dates
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Enumeration Date | 02/26/2014
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Last Update Date | 04/16/2014
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Provider Practice Location Address
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Address Line | 115 MEDICAL DR SUITE 208
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City | VICTORIA
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State | TX
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Zip | 77904-3102
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Country | US
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Telephone | 361-894-6420
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Fax | 361-894-6319
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Provider Business Mailing Address
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Address Line | PO BOX 4550
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City | VICTORIA
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State | TX
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Zip | 77903-4550
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Country | US
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Telephone | 361-894-6420
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Fax | 361-894-6319
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. YVETTE FAYE WESTFORD
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Credential | M.D.
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Telephone | 361-894-6420
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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 | M2197
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License Number State | TX
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