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General NPI Number Information
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NPI Number | 1497040562
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Entity Type | Organization
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Legal Business Name | ORANGE COUNTY WOMEN'S HEALTHCARE ASSOCIATES
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Dates
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Enumeration Date | 06/16/2011
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Last Update Date | 06/24/2012
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Provider Practice Location Address
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Address Line | 1211 W LA PALMA AVE SUITE 609
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City | ANAHEIM
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State | CA
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Zip | 92801-2815
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Country | US
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Telephone | 714-535-7245
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Fax | 714-535-1955
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Provider Business Mailing Address
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Address Line | 1211 W LA PALMA AVE SUITE 609
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City | ANAHEIM
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State | CA
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Zip | 92801-2815
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Country | US
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Telephone | 714-535-7245
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Fax | 714-535-1955
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. CRISTINA HERNANDEZ O'DAY
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Credential | M.D.
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Telephone | 714-535-7245
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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 | A105959
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License Number State | CA
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