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General NPI Number Information
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NPI Number | 1710932322
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Entity Type | Organization
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Legal Business Name | GYNO ASSOCIATES
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Dates
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Enumeration Date | 05/23/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1010 LIGONIER ST
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City | LATROBE
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State | PA
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Zip | 15650-1882
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Country | US
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Telephone | 724-539-8581
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Fax | 724-539-1575
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Provider Business Mailing Address
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Address Line | 1010 LIGONIER ST
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City | LATROBE
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State | PA
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Zip | 15650-1882
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Country | US
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Telephone | 724-539-8581
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Fax | 724-539-1575
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Authorized Official
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Title or Position | PRESIDENT
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Name | BETH A MAXWELL
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Credential | MD
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Telephone | 724-539-8581
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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