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General NPI Number Information
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NPI Number | 1508362609
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Entity Type | Organization
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Legal Business Name | TOTAL WOMEN'S HEALTH OF BALTIMORE,PA
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Dates
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Enumeration Date | 04/05/2018
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Last Update Date | 06/25/2018
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Provider Practice Location Address
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Address Line | 6080 FALLS RD STE 204
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City | BALTIMORE
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State | MD
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Zip | 21209
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Country | US
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Telephone | 443-471-3288
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Fax | 443-471-3289
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Provider Business Mailing Address
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Address Line | 2809 GREEN LAKE CIR
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City | BALTIMORE
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State | MD
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Zip | 21209-3859
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Country | US
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Telephone | 443-540-1481
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Fax |
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | NIA BROOKS
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Credential |
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Telephone | 443-467-3182
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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 | D68376
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License Number State | MD
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