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General NPI Number Information
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NPI Number | 1730455718
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Entity Type | Organization
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Legal Business Name | ASSOCIATES IN WOMEN'S HEALTH CARE, PC
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Dates
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Enumeration Date | 03/24/2012
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Last Update Date | 03/24/2012
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Provider Practice Location Address
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Address Line | 200 SILVER ST SUITE 214
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City | AGAWAM
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State | MA
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Zip | 01001-3065
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Country | US
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Telephone | 860-752-8713
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Fax |
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Provider Business Mailing Address
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Address Line | 200 SILVER ST SUITE 214
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City | AGAWAM
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State | MA
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Zip | 01001-3065
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Country | US
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Telephone | 860-752-8713
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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. SHARON ANNE MACMILLAN
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Credential | M.D.
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Telephone | 860-752-8713
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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 | 204995
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License Number State | MA
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