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General NPI Number Information
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NPI Number | 1568550572
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Entity Type | Organization
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Legal Business Name | PROFESSIONAL OBS-GYN OF ORANGE CO LLP
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Dates
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Enumeration Date | 10/11/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 75 CRYSTAL RUN RD SUITE 202
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City | MIDDLETOWN
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State | NY
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Zip | 10941-7000
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Country | US
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Telephone | 845-703-5000
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Fax | 845-703-5010
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Provider Business Mailing Address
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Address Line | 75 CRYSTAL RUN RD SUITE 202
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City | MIDDLETOWN
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State | NY
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Zip | 10941-7000
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Country | US
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Telephone | 845-703-5000
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Fax | 845-703-5010
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Authorized Official
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Title or Position | HEAD DOCTOR
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Name | DR. RALPH GEORGE ANDERSON
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Credential | M.D.
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Telephone | 845-703-5000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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