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General NPI Number Information
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NPI Number | 1467625418
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Entity Type | Organization
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Legal Business Name | ALL ABOUT WOMEN PLLC
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Dates
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Enumeration Date | 04/10/2008
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Last Update Date | 05/15/2008
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Provider Practice Location Address
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Address Line | 2508 SAND MINE RD
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City | DAVENPORT
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State | FL
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Zip | 33897-3402
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Country | US
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Telephone | 863-424-4321
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 137007
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City | CLERMONT
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State | FL
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Zip | 34713-7007
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Country | US
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Telephone | 863-424-4321
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE MANAGER
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Name | MARK GRIFFO
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Credential |
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Telephone | 863-424-4321
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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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