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General NPI Number Information
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NPI Number | 1588965024
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Entity Type | Organization
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Legal Business Name | KOTZEN CENTER FOR WOMENS HEALTH INC
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Dates
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Enumeration Date | 11/16/2010
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Last Update Date | 10/31/2011
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Provider Practice Location Address
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Address Line | 4280 PROFESSIONAL CENTER DR SUITE 300
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4280
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Country | US
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Telephone | 561-837-9880
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Fax | 561-837-9884
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Provider Business Mailing Address
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Address Line | 4280 PROFESSIONAL CENTER DR SUITE 300
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4280
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Country | US
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Telephone | 561-837-9880
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Fax | 561-837-9884
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Authorized Official
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Title or Position | PRESIDENT, JUPITER PROF DEVELOPMENT
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Name | KAREN BARLOW
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Credential |
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Telephone | 561-748-2889
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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 | ME39811
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License Number State | FL
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