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General NPI Number Information
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NPI Number | 1669683256
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Entity Type | Organization
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Legal Business Name | ADVANCED WOMEN'S CARE PC
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/22/2013
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Provider Practice Location Address
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Address Line | 10752 BUSTLETON AVE UNIT C
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3367
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Country | US
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Telephone | 215-677-2453
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Fax | 215-677-2261
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Provider Business Mailing Address
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Address Line | 827 BARLOW ST
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City | PHILADELPHIA
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State | PA
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Zip | 19116-2533
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Country | US
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Telephone | 215-934-5958
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. AILEEN BILYAK
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Credential | M.D.
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Telephone | 215-934-5958
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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 | MD419993
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License Number State | PA
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