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General NPI Number Information
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NPI Number | 1659328763
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Entity Type | Organization
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Legal Business Name | VILLAGE GYNECOLOGY MD PA
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Dates
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Enumeration Date | 05/27/2006
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 1503 BUENOS AIRES BLVD SUITE 181
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City | THE VILLAGES
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State | FL
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Zip | 32159-8999
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Country | US
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Telephone | 352-259-5740
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Fax | 352-259-5745
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Provider Business Mailing Address
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Address Line | 1503 BUENOS AIRES BLVD SUITE 181
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City | THE VILLAGES
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State | FL
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Zip | 32159-8999
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Country | US
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Telephone | 352-259-5740
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Fax | 352-259-5745
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Authorized Official
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Title or Position | PRESIDENT
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Name | KATHLEEN A STEEPY
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Credential | M.D.
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Telephone | 352-259-5740
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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 | ME85792
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License Number State | FL
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