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General NPI Number Information
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NPI Number | 1629178850
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Entity Type | Organization
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Legal Business Name | GREENSBORO GYNECOLOGY ASSOCIATES, PA
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Dates
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Enumeration Date | 09/25/2006
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Last Update Date | 12/05/2007
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Provider Practice Location Address
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Address Line | 719 GREEN VALLEY RD SUITE 305
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City | GREENSBORO
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State | NC
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Zip | 27408-7014
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Country | US
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Telephone | 336-544-4599
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Fax | 336-544-4580
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Provider Business Mailing Address
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Address Line | 719 GREEN VALLEY RD SUITE 305
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City | GREENSBORO
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State | NC
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Zip | 27408-7014
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Country | US
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Telephone | 336-544-4599
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Fax | 336-544-4580
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DANIEL GOTTSEGEN
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Credential | MD
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Telephone | 336-544-4599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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