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General NPI Number Information
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NPI Number | 1841553674
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Entity Type | Organization
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Legal Business Name | WOMENS CENTER FOR INTEGRATIVE HEALTH
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Dates
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Enumeration Date | 06/18/2012
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Last Update Date | 06/18/2012
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Provider Practice Location Address
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Address Line | 354 BROAD ST
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City | EATONTOWN
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State | NJ
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Zip | 07724-2329
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Country | US
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Telephone | 732-542-3800
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Fax | 732-676-7690
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Provider Business Mailing Address
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Address Line | 354 BROAD ST
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City | EATONTOWN
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State | NJ
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Zip | 07724-2329
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Country | US
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Telephone | 732-542-3800
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Fax | 732-676-7690
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. ANDREA N PRICE
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Credential | M.D.
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Telephone | 732-542-3800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MA72626
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License Number State | NJ
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