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General NPI Number Information
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NPI Number | 1801989678
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Entity Type | Organization
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Legal Business Name | OCOEE OB/GYN, PC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 05/16/2016
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Provider Practice Location Address
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Address Line | 2550 BUSINESS PARK DR NE
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City | CLEVELAND
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State | TN
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Zip | 37311-6503
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Country | US
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Telephone | 423-339-8881
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Fax | 423-464-6126
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Provider Business Mailing Address
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Address Line | 2550 BUSINESS PARK DR NE
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City | CLEVELAND
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State | TN
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Zip | 37311-6503
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Country | US
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Telephone | 423-339-8881
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Fax | 423-464-6126
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRENDA ANNE SNOWMAN
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Credential | MD
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Telephone | 423-339-8881
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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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