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General NPI Number Information
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NPI Number | 1801976550
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Entity Type | Organization
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Legal Business Name | OB-GYN ASSOCIATES, LLC
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Dates
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Enumeration Date | 10/17/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 545 N RIVER ST SUITE 100
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City | WILKES BARRE
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State | PA
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Zip | 18702-2600
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Country | US
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Telephone | 570-288-6616
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Fax | 570-288-6860
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Provider Business Mailing Address
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Address Line | 545 N RIVER ST SUITE 100
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City | WILKES BARRE
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State | PA
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Zip | 18702-2600
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Country | US
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Telephone | 570-288-6616
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Fax | 570-288-6860
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. MARY MCGUIGAN
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Credential |
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Telephone | 570-288-6616
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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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