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General NPI Number Information
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NPI Number | 1821630724
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Entity Type | Organization
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Legal Business Name | GREENWICH MEDICAL ASSOCIATES, P.C.
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Dates
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Enumeration Date | 10/11/2019
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Last Update Date | 10/11/2019
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Provider Practice Location Address
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Address Line | 500 W PUTNAM AVE STE 435
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City | GREENWICH
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State | CT
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Zip | 06830-6086
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Country | US
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Telephone | 203-861-7890
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Fax | 203-861-7898
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Provider Business Mailing Address
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Address Line | 2001 BUTTERFIELD RD STE 300
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City | DOWNERS GROVE
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State | IL
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Zip | 60515-1069
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Country | US
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Telephone | 630-725-2799
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Fax | 833-842-5469
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Authorized Official
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Title or Position | REVENUE CYCLE MANAGER
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Name | LORENA ESPARZA
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Credential |
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Telephone | 630-725-2764
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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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