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General NPI Number Information
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NPI Number | 1548279318
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Entity Type | Organization
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Legal Business Name | MOUNDVIEW OBSTETRICS & GYNECOLOGY, INC.
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Dates
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Enumeration Date | 08/07/2006
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Last Update Date | 10/08/2012
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Provider Practice Location Address
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Address Line | 30 MESSIMER DR
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City | NEWARK
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State | OH
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Zip | 43055-1842
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Country | US
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Telephone | 740-344-6904
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Fax | 740-522-5482
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Provider Business Mailing Address
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Address Line | 30 MESSIMER DR
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City | NEWARK
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State | OH
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Zip | 43055-1842
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Country | US
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Telephone | 740-344-6904
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Fax | 740-522-5482
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MAUREEN Y YABLONSKI
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Credential | MD
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Telephone | 740-344-6904
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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 | 040236E
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License Number State | OH
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