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General NPI Number Information
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NPI Number | 1609015825
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Entity Type | Organization
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Legal Business Name | RENEW GYNECOLOGY, L.L.C.
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Dates
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Enumeration Date | 02/11/2009
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Last Update Date | 02/12/2009
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Provider Practice Location Address
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Address Line | 4 LITCHFIELD WAY
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City | ALPINE
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State | NJ
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Zip | 07620
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Country | US
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Telephone | 120-175-0148
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Fax |
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Provider Business Mailing Address
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Address Line | 4 LITCHFIELD WAY
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City | ALPINE
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State | NJ
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Zip | 07620
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. INGA ZILBERSTEIN
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Credential | M.D.
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Telephone | 201-750-1482
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | 25MAO7432400
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License Number State | NJ
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