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General NPI Number Information
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NPI Number | 1508911322
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Entity Type | Organization
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Legal Business Name | WOMEN TO WOMEN HEALTHCARE CENTER INC
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 3 MARINA RD
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City | YARMOUTH
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State | ME
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Zip | 04096-6783
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Country | US
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Telephone | 207-846-6163
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MARINA RD
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City | YARMOUTH
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State | ME
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Zip | 04096-6783
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Country | US
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Telephone | 207-846-6163
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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 | DONNA L POULIN
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Credential |
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Telephone | 207-838-8508
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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