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General NPI Number Information
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NPI Number | 1760662381
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Entity Type | Organization
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Legal Business Name | PREMIER OB GYN HEALTHCARE, LLC
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Dates
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Enumeration Date | 11/12/2007
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Last Update Date | 03/03/2009
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Provider Practice Location Address
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Address Line | 971 ROUTE 202 NORTH SUITE 1
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City | BRANCHBURG
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State | NJ
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Zip | 08876
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Country | US
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Telephone | 908-429-0044
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Fax | 908-429-0048
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Provider Business Mailing Address
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Address Line | 971 ROUTE 202 NORTH SUITE 1
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City | BRANCHBURG
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State | NJ
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Zip | 08876
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Country | US
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Telephone | 908-429-0044
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Fax | 908-429-0048
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Authorized Official
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Title or Position | PHYSICIAN/OWNER
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Name | ALYSSA HOROWITZ
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Credential | MD
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Telephone | 908-429-0044
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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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