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General NPI Number Information
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NPI Number | 1841595675
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Entity Type | Organization
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Legal Business Name | WOMAN TO WOMAN PROFESSIONAL SERVICES
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Dates
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Enumeration Date | 01/26/2011
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Last Update Date | 01/08/2020
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Provider Practice Location Address
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Address Line | 901 W MAIN ST STE 240 2ND FL
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City | FREEHOLD
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State | NJ
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Zip | 07728-2537
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Country | US
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Telephone | 732-308-2255
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Fax | 732-308-0081
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Provider Business Mailing Address
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Address Line | 900 W MAIN ST STE 240
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City | FREEHOLD
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State | NJ
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Zip | 07728-2156
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Country | US
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Telephone | 732-308-2255
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Fax | 732-308-0081
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Authorized Official
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Title or Position | OFFICE ADMINISTRATOR
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Name | MR. WAYNE AUTRY
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Credential |
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Telephone | 732-308-2255
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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 | 069288
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License Number State | NJ
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