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General NPI Number Information
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NPI Number | 1679723431
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Entity Type | Organization
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Legal Business Name | VERSSA WOMENS CENTER PA
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Dates
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Enumeration Date | 09/29/2008
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Last Update Date | 12/30/2008
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Provider Practice Location Address
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Address Line | 36739 STATE ROAD 52 SUITE 101
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City | DADE CITY
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State | FL
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Zip | 33525-5101
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Country | US
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Telephone | 352-437-4808
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Fax | 352-437-4811
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Provider Business Mailing Address
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Address Line | 36739 STATE ROAD 52 SUITE 101
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City | DADE CITY
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State | FL
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Zip | 33525-5101
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Country | US
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Telephone | 352-437-4808
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Fax | 352-437-4811
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | VERONICA SOCAS
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Credential | MD
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Telephone | 352-437-4808
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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 | ME102660
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License Number State | FL
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