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General NPI Number Information
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NPI Number | 1457547994
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Entity Type | Organization
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Legal Business Name | COMMONWEALTH OBSTETRICS GYNECOLOGY PC
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 05/19/2011
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Provider Practice Location Address
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Address Line | 428 HOSPITAL DR
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City | WARRENTON
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State | VA
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Zip | 20186-3026
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Country | US
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Telephone | 540-349-0100
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Fax | 540-349-4401
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Provider Business Mailing Address
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Address Line | 428 HOSPITAL DR
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City | WARRENTON
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State | VA
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Zip | 20186-3026
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Country | US
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Telephone | 540-349-0100
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Fax | 540-349-4401
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY WALTON BELL
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Credential | MD
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Telephone | 540-349-0100
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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 | 0101049349
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License Number State | VA
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