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General NPI Number Information
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NPI Number | 1780687574
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Entity Type | Individual
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Provider Name | SYLVIA F GARWIN M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/24/2005
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 120 N ILLINOIS AVE
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City | CARBONDALE
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State | IL
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Zip | 62901-1450
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Country | US
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Telephone | 618-529-5611
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Fax | 618-529-5651
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Provider Business Mailing Address
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Address Line | PO BOX 1105
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City | INDIANAPOLIS
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State | IN
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Zip | 46206-1105
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Country | US
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Telephone | 618-529-5611
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Fax | 618-529-5651
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 036079404
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License Number State | IL
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