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General NPI Number Information
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NPI Number | 1578503876
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Entity Type | Organization
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Legal Business Name | MY GYNECOLOGIST PA
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Dates
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Enumeration Date | 06/07/2006
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Last Update Date | 01/29/2009
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Provider Practice Location Address
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Address Line | 11175 COUNTY LINE RD
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City | SPRING HILL
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State | FL
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Zip | 34609-5615
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Country | US
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Telephone | 352-684-7886
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Fax | 352-684-6888
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Provider Business Mailing Address
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Address Line | 11175 COUNTY LINE RD
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City | SPRING HILL
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State | FL
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Zip | 34609-5615
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Country | US
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Telephone | 352-684-7886
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Fax | 352-684-6888
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. NATALIE S LEIBENSPERGER
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Credential | DO
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Telephone | 352-686-8884
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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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