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General NPI Number Information
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NPI Number | 1679662050
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Entity Type | Organization
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Legal Business Name | FAMILY MEDICINE & WOMEN'S HEALTHCARE PC
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 03/04/2015
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Provider Practice Location Address
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Address Line | 703 THIMBLE SHOALS BLVD STE B4
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-873-4441
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Fax | 757-873-4107
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Provider Business Mailing Address
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Address Line | 703 THIMBLE SHOALS BLVD STE B4
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City | NEWPORT NEWS
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State | VA
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Zip | 23606
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Country | US
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Telephone | 757-873-4441
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Fax | 757-873-4107
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Authorized Official
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Title or Position | PHYSICIAN
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Name | NANCY C AYRES
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Credential | MD
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Telephone | 757-873-4441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | VA
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