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General NPI Number Information
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NPI Number | 1821337544
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Entity Type | Organization
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Legal Business Name | WOMEN FIRST OB/GYN P.C.
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Dates
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Enumeration Date | 02/01/2013
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Last Update Date | 02/01/2013
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Provider Practice Location Address
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Address Line | 8615 65TH DR
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City | REGO PARK
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State | NY
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Zip | 11374-5005
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Country | US
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Telephone | 718-459-8117
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Fax | 718-459-8118
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Provider Business Mailing Address
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Address Line | 8615 65TH DR
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City | REGO PARK
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State | NY
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Zip | 11374-5005
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Country | US
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Telephone | 718-459-8117
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Fax | 718-459-8118
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Authorized Official
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Title or Position | SECRETARY
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Name | MRS. EVETTE PEREZ
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Credential |
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Telephone | 718-459-8117
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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 | 202822
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License Number State | NY
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