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General NPI Number Information
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NPI Number | 1871953463
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Entity Type | Organization
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Legal Business Name | MODERN WOMENS CARE
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Dates
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Enumeration Date | 02/25/2016
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 23600 TELO AVE STE 270
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City | TORRANCE
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State | CA
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Zip | 90505-4037
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Country | US
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Telephone | 310-539-5060
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Fax | 310-539-7899
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Provider Business Mailing Address
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Address Line | 3440 LOMITA BLVD SUITE #240
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City | TORRANCE
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State | CA
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Zip | 90505-4801
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Country | US
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Telephone | 310-539-5060
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Fax | 310-539-7899
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Authorized Official
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Title or Position | C.F.O
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Name | CRISTAL LYNCH
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Credential | M.D.
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Telephone | 310-539-5060
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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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