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General NPI Number Information
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NPI Number | 1760051338
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Entity Type | Organization
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Legal Business Name | ORREGO CENTER FOR WOMEN'S HEALTH, LLC
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Dates
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Enumeration Date | 06/18/2021
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Last Update Date | 06/18/2021
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Provider Practice Location Address
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Address Line | 1715 E HWY 50 STE 3
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City | CLERMONT
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State | FL
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Zip | 34711-5187
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Country | US
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Telephone | 352-708-6511
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Fax | 352-708-6533
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Provider Business Mailing Address
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Address Line | PO BOX 9100
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City | BELFAST
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State | ME
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Zip | 04915-9100
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Country | US
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Telephone | 561-300-2410
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Fax | 561-235-7292
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Authorized Official
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Title or Position | MANAGER
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Name | ERICA HERNANDEZ
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Credential |
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Telephone | 561-300-2410
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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