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General NPI Number Information
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NPI Number | 1811290919
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Entity Type | Organization
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Legal Business Name | HEALTHY BEGINNINGS CENTER FOR WOMEN, LLC
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Dates
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Enumeration Date | 12/10/2010
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Last Update Date | 07/28/2011
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Provider Practice Location Address
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Address Line | 215 TOLL GATE RD SUITE 106
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City | WARWICK
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State | RI
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Zip | 02886-4458
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Country | US
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Telephone | 401-732-5600
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Fax | 401-734-9400
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Provider Business Mailing Address
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Address Line | 215 TOLL GATE RD SUITE 106
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City | WARWICK
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State | RI
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Zip | 02886-4458
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Country | US
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Telephone | 401-732-5600
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Fax | 401-734-9400
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Authorized Official
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Title or Position | OWNER
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Name | MICHAEL ECONOMOS
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Credential |
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Telephone | 401-732-5600
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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 | MD09195
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License Number State | RI
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