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General NPI Number Information
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NPI Number | 1598087231
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Entity Type | Organization
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Legal Business Name | WOMEN'S HEALTHCARE OF ORLANDO, PA
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Dates
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Enumeration Date | 02/22/2010
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Last Update Date | 11/03/2010
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Provider Practice Location Address
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Address Line | 3701 AVALON PARK WEST BLVD SUITE 230
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City | ORLANDO
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State | FL
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Zip | 32828-7303
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Country | US
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Telephone | 407-453-2072
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 781444
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City | ORLANDO
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State | FL
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Zip | 32878-1444
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Country | US
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Telephone | 407-453-2072
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Fax |
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Authorized Official
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Title or Position | SOLO PRACTITIONER
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Name | DR. INGRID PATRICIA DUNN
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Credential | M.D.
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Telephone | 407-453-2072
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | ME 104799
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License Number State | FL
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