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General NPI Number Information
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NPI Number | 1578070827
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Entity Type | Organization
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Legal Business Name | BE WELL WOMEN'S HEALTH
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Dates
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Enumeration Date | 01/09/2018
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Last Update Date | 01/09/2018
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Provider Practice Location Address
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Address Line | 611 NEW RD
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City | NORTHFIELD
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State | NJ
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Zip | 08225-1669
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Country | US
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Telephone | 609-383-4042
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Fax | 609-383-4042
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Provider Business Mailing Address
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Address Line | 2 BAYSIDE RD
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City | EGG HARBOR TOWNSHIP
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State | NJ
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Zip | 08234-7250
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Country | US
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Telephone | 609-742-7709
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Fax |
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Authorized Official
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Title or Position | PHYSICIAN
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Name | ADEBOLA NNEWIHE
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Credential |
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Telephone | 609-383-4042
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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 |
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License Number State |
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