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General NPI Number Information
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NPI Number | 1750334223
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Entity Type | Organization
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Legal Business Name | OB/GYN GROUP
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Dates
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Enumeration Date | 05/18/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2440 M ST NW SUITE 510
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City | WASHINGTON
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State | DC
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Zip | 20037-1404
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Country | US
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Telephone | 202-835-8363
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 M ST NW SUITE 510
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City | WASHINGTON
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State | DC
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Zip | 20037-1404
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Country | US
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Telephone | 202-835-8363
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | MS. LENORA TYNES
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Credential |
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Telephone | 202-835-8363
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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 |
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License Number State |
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