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General NPI Number Information
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NPI Number | 1861762759
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Entity Type | Organization
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Legal Business Name | PRIORITY WOMENS HEALTHCARE
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Dates
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Enumeration Date | 01/09/2012
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Last Update Date | 01/09/2012
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Provider Practice Location Address
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Address Line | 4201 TORRANCE BLVD 600
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City | TORRANCE
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State | CA
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Zip | 90503-4504
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Country | US
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Telephone | 310-540-5503
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Fax | 310-792-3694
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Provider Business Mailing Address
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Address Line | 371 VAN NESS WAY 210
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City | TORRANCE
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State | CA
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Zip | 90501-1482
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Country | US
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Telephone | 310-792-3914
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Fax | 855-883-0387
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Authorized Official
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Title or Position | MD/PRES
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Name | DR. JEFFREY COWAN
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Credential | MD
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Telephone | 310-540-5503
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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 | G35295
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License Number State | CA
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