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General NPI Number Information
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NPI Number | 1750708848
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Entity Type | Organization
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Legal Business Name | WOMAN TO WOMAN GYNECOLOGY PLLC
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Dates
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Enumeration Date | 03/26/2014
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Last Update Date | 04/18/2019
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Provider Practice Location Address
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Address Line | 3909 SUNSET RIDGE RD STE 201
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City | RALEIGH
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State | NC
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Zip | 27607-6668
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Country | US
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Telephone | 919-787-7085
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Fax | 919-787-7086
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Provider Business Mailing Address
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Address Line | 3909 SUNSET RIDGE RD STE 201
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City | RALEIGH
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State | NC
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Zip | 27607-6668
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Country | US
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Telephone | 919-787-7085
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Fax | 919-787-7086
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | DR. AMY M. BRUTON
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Credential | MD
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Telephone | 919-417-2520
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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 | 200401474
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License Number State | NC
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