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General NPI Number Information
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NPI Number | 1659473403
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Entity Type | Organization
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Legal Business Name | LADIES FIRST HEALTHCARE, PA
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Dates
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Enumeration Date | 09/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 8451 SHADE AVE SUITE 109
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City | SARASOTA
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State | FL
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Zip | 34243-2878
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Country | US
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Telephone | 941-360-0960
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Fax | 941-360-0795
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Provider Business Mailing Address
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Address Line | 8451 SHADE AVE SUITE 109
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City | SARASOTA
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State | FL
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Zip | 34243-2878
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Country | US
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Telephone | 941-360-0960
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Fax | 941-360-0795
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. GREGORY DAMERY
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Credential | M.D.
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Telephone | 941-360-0960
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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 | ME-0070721
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License Number State | FL
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