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General NPI Number Information
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NPI Number | 1750321618
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Entity Type | Organization
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Legal Business Name | VALLEY CENTER FOR WOMENS HEALTH PA
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Dates
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Enumeration Date | 06/08/2006
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Last Update Date | 07/01/2009
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Provider Practice Location Address
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Address Line | 581 N FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-1139
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Country | US
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Telephone | 201-236-2100
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Fax |
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Provider Business Mailing Address
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Address Line | 581 N FRANKLIN TPKE
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City | RAMSEY
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State | NJ
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Zip | 07446-1139
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Country | US
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Telephone | 201-236-2100
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Fax |
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Authorized Official
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Title or Position | DELEGATED OFFICIAL
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Name | DR. RICHARD LEVINE
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Credential | MD
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Telephone | 201-236-2100
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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 | 25MA03774100
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License Number State | NJ
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