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General NPI Number Information
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NPI Number | 1730413386
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Entity Type | Organization
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Legal Business Name | GYNECOLOGICAL SOLUTIONS PA
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Dates
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Enumeration Date | 09/30/2009
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Last Update Date | 09/30/2009
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Provider Practice Location Address
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Address Line | 349 US HIGHWAY 206 BUILDING B
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4667
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Country | US
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Telephone | 908-431-5849
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Fax | 908-431-5855
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Provider Business Mailing Address
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Address Line | 349 US HIGHWAY 206 BUILDING B
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City | HILLSBOROUGH
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State | NJ
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Zip | 08844-4667
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Country | US
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Telephone | 908-431-5849
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Fax | 908-431-5855
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Authorized Official
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Title or Position | OWNER
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Name | DR. CAROLYN ANN DELUCIA
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Credential | MD
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Telephone | 908-431-5849
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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 | MA058540
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License Number State | NJ
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